A case of facial nerve palsy in a pediatric patient associated with Covid-19

Abstract Background Pediatric facial nerve palsy is acute and mostly idiopathic; other causes are post-infectious forms. Case presentation We describe a rare case of facial nerve palsy associated with COVID-19 in a 5-year-old boy. The diagnosis of post-infectious COVID-19-related facial paralysis wa...

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Bibliographic Details
Main Authors: Alessandra Iacono (Author), Elisa Pennisi (Author), Consuelo Benincasa (Author), Federico Marchetti (Author)
Format: Book
Published: BMC, 2022-05-01T00:00:00Z.
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Summary:Abstract Background Pediatric facial nerve palsy is acute and mostly idiopathic; other causes are post-infectious forms. Case presentation We describe a rare case of facial nerve palsy associated with COVID-19 in a 5-year-old boy. The diagnosis of post-infectious COVID-19-related facial paralysis was made by serology positivity for a previous infection (IgG positive, IgM and IgA weakly positive), in the presence of a negative molecular nasopharyngeal swab and in the absence of other etiologies. Early treatment with steroids (1 mg/day for 7 days followed by tapering) and supportive care solved the problem. Conclusion In a child with facial paralysis, COVID-19 must be considered as the cause and both nasopharyngeal swab and serology must be performed.
Item Description:10.1186/s13052-022-01263-0
1824-7288