Hostetler Mark A, Suara Rahaman O, Denison Mark R
Department of Emergency Medicine, Vanderbilt University, Nashville, Tennessee, USA.
J Emerg Med. 2002 Apr;22(3):267-71. doi: 10.1016/s0736-4679(01)00483-8.
We report the case of a four month old infant presenting to the Emergency Department (ED) with irritability and facial asymmetry following a recent bout of gastroenteritis. Physical examination revealed a unilateral peripheral facial nerve paralysis. Common in older children and adults, facial nerve palsy has rarely been described in infancy. Although historically associated with a variety of inflammatory and infectious causes, the pathogenesis remains unclear. In this infant we were able to successfully identify an underlying acute enteroviral infection. Coxsackie B5 was isolated from the middle ear fluid, cerebrospinal fluid (CSF), nasopharyngeal and rectal swabs. After myringotomy drainage of the middle ear fluid and placement of pneumatic equalization tubes, there was rapid and complete resolution of facial paralysis.
我们报告了一例4个月大婴儿的病例，该婴儿近期患肠胃炎后出现烦躁和面部不对称，前往急诊科就诊。体格检查发现单侧周围性面神经麻痹。面神经麻痹在大龄儿童和成人中较为常见，但在婴儿期鲜有报道。虽然历史上与多种炎症和感染原因有关，但其发病机制仍不清楚。在这名婴儿中，我们成功确定了潜在的急性肠道病毒感染。从中耳液、脑脊液、鼻咽拭子和直肠拭子中分离出柯萨奇B5病毒。在进行中耳液鼓膜切开引流并放置通气平衡管后，面瘫迅速完全恢复。
