<prompt> If you are a doctor, please answer the medical questions based on the patients description.HI my husband complained a couple of days ago about his ear, finding it hard to swallow and intense pain around the nape of his neck. he has now developed a rash which seems to spreading from his neck to his shoulder and face ...any ideas ??? many thanks  <response>: Hello. Thank you for writing to Spain and rash, localized to a part of body on just one side suggests a possibility of Herpes Zoster Shingles. Zoster or Shingles usually presents with grouped, discrete, fluid filled lesions vesicles arranged in a stripe like pattern on just one side of the body. The lesions are painful. They rupture to form erosion raw areas which heal in about a week or ten days, on oral antivirals. Diagnosis is clinically obvious. Treatment is with oral antivirals like either acyclovir Or val acyclovir for a week. These are prescription Chat Doctor. Topically he may use an OTC topical antibacterial e.g. 2 mupirocin twice disregards 