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小儿面神经麻痹病例：由不可分型流感嗜血杆菌引起的急性中耳炎并发症

Pediatric Case of Facial Nerve Palsy as a Complication of Acute Otitis Media Caused by Non-typeable Haemophilus Influenza.

作者信息

Mitkova Milena, Kasaboglu Julide, Valcheva Silvia, Gergova Raina, Popova Diana, Alexandrova Alexandra

机构信息

Department of Otolaryngology, Head and Neck Surgery, Medical University-Sofia, Sofia, BGR.

Department of Microbiology, Medical University-Sofia, Sofia, BGR.

出版信息

Cureus. 2025 Jan 5;17(1):e76953. doi: 10.7759/cureus.76953. eCollection 2025 Jan.

DOI:10.7759/cureus.76953
PMID:39758857
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11700510/
Abstract

Facial paralysis is an infrequent and serious potential complication of acute otitis media (AOM). We describe a pediatric case of rapidly progressive facial paralysis as a secondary complication alongside AOM, caused by the non-typeable  (NTHi) strain, which was managed with facial nerve decompression, glucocorticoid medication, and antimicrobial chemotherapy. The reasons why NTHi becomes pathogenic in certain patients are not yet fully understood, and the specific interactions and adaptations that lead to complications must be further investigated, as they result in more complex treatment approaches.

摘要

面瘫是急性中耳炎（AOM）一种罕见但严重的潜在并发症。我们描述了一例儿科病例，该病例中一名患儿在患AOM的同时，因不可分型的（NTHi）菌株引发了快速进展性面瘫这一继发性并发症，通过面神经减压、糖皮质激素药物治疗及抗菌化疗对其进行了处理。NTHi在某些患者中致病的原因尚未完全明确，导致并发症的具体相互作用和适应性变化必须进一步研究，因为它们会导致更复杂的治疗方法。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/00ab/11700510/56d362ea3758/cureus-0017-00000076953-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/00ab/11700510/f63a72747b7d/cureus-0017-00000076953-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/00ab/11700510/6bbd47d0568b/cureus-0017-00000076953-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/00ab/11700510/56d362ea3758/cureus-0017-00000076953-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/00ab/11700510/f63a72747b7d/cureus-0017-00000076953-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/00ab/11700510/6bbd47d0568b/cureus-0017-00000076953-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/00ab/11700510/56d362ea3758/cureus-0017-00000076953-i03.jpg

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本文引用的文献

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