Chongsuvivatwong Tabtim, Mueanchoo Panitta, Sathirapanya Praewchompoo, Sathirapanya Pornchai
Department of Medicine, Hat Yai Hospital, Songkhla 90110, Thailand.
Sikarin Hat Yai Hospital, Songkhla 90110, Thailand.
Case Rep Neurol Med. 2023 Jan 30;2023:4278146. doi: 10.1155/2023/4278146. eCollection 2023.
Although Bell's palsy is a common diagnosis of acute isolated peripheral facial palsy (PFP), acute isolated PFP can be the first presentation of various illnesses, including COVID-19 disease. A female with a known history of well-controlled diabetes mellitus presented initially with acute isolated PFP mimicking Bell's palsy. A course of oral prednisolone was given to treat acute PFP. Severe fifth cervical radicular pain, which is unusual for Bell's palsy followed 3 days later. The COVID-19 infection was finally diagnosed by a real-time polymerase chain reaction (RT-PCR) test 15 days after facial paralysis when typical pulmonary infection symptoms developed. Oral favipiravir was given for the treatment of COVID-19 infection, to which the symptoms completely responded. The COVID-19 infection as a cause of acute isolated PFP should be added to the differential diagnosis of acute isolated PFP, albeit without typical pulmonary infection symptoms, particularly during the global pandemic of the infection.
虽然贝尔麻痹是急性孤立性周围性面神经麻痹（PFP）的常见诊断，但急性孤立性PFP可能是包括COVID-19疾病在内的各种疾病的首发表现。一名有糖尿病病史且病情控制良好的女性最初表现为类似贝尔麻痹的急性孤立性PFP。给予口服泼尼松龙疗程以治疗急性PFP。3天后出现了贝尔麻痹不常见的严重颈5神经根性疼痛。面瘫15天后出现典型肺部感染症状时，最终通过实时聚合酶链反应（RT-PCR）检测确诊为COVID-19感染。给予口服法匹拉韦治疗COVID-19感染，症状完全缓解。尽管没有典型的肺部感染症状，但在该感染全球大流行期间，COVID-19感染作为急性孤立性PFP的病因应添加到急性孤立性PFP的鉴别诊断中。
