Martins Alfredo Santos Pinheiro, Losa Francisco Javier Fanjul, Rueda Helem Haydee Vilchez, García-Gasalla Mercedes
Department of Internal Medicine, Infectious Diseases Unit, Hospital Universitario Son Espases, Palma, Mallorca, Spain.
J Glob Infect Dis. 2021 Aug 7;13(4):183-185. doi: 10.4103/jgid.jgid_360_20. eCollection 2021 Oct-Dec.
Facial nerve palsy is the most frequent acute mononeuropathy and it is often of viral etiology, although many other causes have been identified. It has recently been described as a potential manifestation of COVID-19. We report the case of a patient with recent history of diarrhea and malaise that was admitted to the hospital presenting right facial paresis with orbicular muscle involvement. Nasopharyngeal swab tested positive for severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) on the real-time reverse transcription polymerase chain reaction and magnetic resonance imaging showed no structural changes. During the hospital stay, the patient showed clinical improvement, and no other symptoms were observed. This case presentation suggests a possible association between neuropathies and SARS-CoV-2 infection.
面神经麻痹是最常见的急性单神经病,其病因通常为病毒感染,尽管也已确定了许多其他病因。最近,它被描述为新型冠状病毒肺炎(COVID-19)的一种潜在表现形式。我们报告了一例近期有腹泻和不适病史的患者,该患者因右侧面部麻痹伴眼轮匝肌受累入院。实时逆转录聚合酶链反应检测显示鼻咽拭子严重急性呼吸综合征冠状病毒2(SARS-CoV-2)呈阳性,磁共振成像未显示结构变化。住院期间,患者病情出现临床好转,未观察到其他症状。该病例提示神经病变与SARS-CoV-2感染之间可能存在关联。