Acute Peripheral Facial Paralysis Masquerading as Bell’s Palsy Is the First Presentation of COVID-19 Infection
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 P...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Hindawi Limited
2023-01-01
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| Series: | Case Reports in Neurological Medicine |
| Online Access: | http://dx.doi.org/10.1155/2023/4278146 |
| _version_ | 1811165433031557120 |
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| author | Tabtim Chongsuvivatwong Panitta Mueanchoo Praewchompoo Sathirapanya Pornchai Sathirapanya |
| author_facet | Tabtim Chongsuvivatwong Panitta Mueanchoo Praewchompoo Sathirapanya Pornchai Sathirapanya |
| author_sort | Tabtim Chongsuvivatwong |
| collection | DOAJ |
| description | 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. |
| first_indexed | 2024-04-10T15:38:10Z |
| format | Article |
| id | doaj.art-ca9f2f262c414f14b20f4e1f217d4937 |
| institution | Directory Open Access Journal |
| issn | 2090-6676 |
| language | English |
| last_indexed | 2024-04-10T15:38:10Z |
| publishDate | 2023-01-01 |
| publisher | Hindawi Limited |
| record_format | Article |
| series | Case Reports in Neurological Medicine |
| spelling | doaj.art-ca9f2f262c414f14b20f4e1f217d49372023-02-13T01:09:22ZengHindawi LimitedCase Reports in Neurological Medicine2090-66762023-01-01202310.1155/2023/4278146Acute Peripheral Facial Paralysis Masquerading as Bell’s Palsy Is the First Presentation of COVID-19 InfectionTabtim Chongsuvivatwong0Panitta Mueanchoo1Praewchompoo Sathirapanya2Pornchai Sathirapanya3Department of MedicineSikarin Hat Yai HospitalSabayoi HospitalDepartment of Internal MedicineAlthough 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.http://dx.doi.org/10.1155/2023/4278146 |
| spellingShingle | Tabtim Chongsuvivatwong Panitta Mueanchoo Praewchompoo Sathirapanya Pornchai Sathirapanya Acute Peripheral Facial Paralysis Masquerading as Bell’s Palsy Is the First Presentation of COVID-19 Infection Case Reports in Neurological Medicine |
| title | Acute Peripheral Facial Paralysis Masquerading as Bell’s Palsy Is the First Presentation of COVID-19 Infection |
| title_full | Acute Peripheral Facial Paralysis Masquerading as Bell’s Palsy Is the First Presentation of COVID-19 Infection |
| title_fullStr | Acute Peripheral Facial Paralysis Masquerading as Bell’s Palsy Is the First Presentation of COVID-19 Infection |
| title_full_unstemmed | Acute Peripheral Facial Paralysis Masquerading as Bell’s Palsy Is the First Presentation of COVID-19 Infection |
| title_short | Acute Peripheral Facial Paralysis Masquerading as Bell’s Palsy Is the First Presentation of COVID-19 Infection |
| title_sort | acute peripheral facial paralysis masquerading as bell s palsy is the first presentation of covid 19 infection |
| url | http://dx.doi.org/10.1155/2023/4278146 |
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