Marioni Gino, Rinaldi Roberto, de Filippis Cosimo, Gaio Elena, Staffieri Alberto
Department of Otolaryngology--Head and Neck Surgery, University of Padua, Padua, Italy.
Acta Otolaryngol. 2003 Jun;123(5):661-3. doi: 10.1080/00016480310000449.
Facial nerve paralysis associated with parotid gland mass is usually caused by malignant neoplasms and facial nerve dysfunction due to parotid infection is exceedingly rare. A review of the literature revealed approximately 15 cases of facial nerve palsy associated with suppurative parotitis or parotid abscess. We report the first case of candidal abscess of the parotid gland associated with facial nerve paralysis in a 74-year-old insulin-dependent diabetic patient. The differential diagnosis in these unusual cases occurring in diabetic, immunodeficient patients should include Candida albicans infection.
与腮腺肿块相关的面神经麻痹通常由恶性肿瘤引起，而因腮腺感染导致的面神经功能障碍极为罕见。文献回顾显示，约有15例面神经麻痹与化脓性腮腺炎或腮腺脓肿相关。我们报告了首例在一名74岁胰岛素依赖型糖尿病患者中发生的与面神经麻痹相关的腮腺念珠菌脓肿病例。对于发生在糖尿病、免疫功能低下患者中的这些不寻常病例，鉴别诊断应包括白色念珠菌感染。
