Pediatric Infectious Disease

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VOLUME 2 , ISSUE 3 ( July-September, 2020 ) > List of Articles

CASE REPORT

Lower Motor Neuron Facial Nerve Palsy in a 4-month-old Infant Associated with Chicken Pox: A Case Report

Manakkattu Thekke Peedikayil Mohammed, Ravikumar Payora, Kizhakke Veettil Radhamani

Keywords : Acyclovir, Lower motor neuron facial palsy, Varicella infection

Citation Information : Mohammed MT, Payora R, Radhamani KV. Lower Motor Neuron Facial Nerve Palsy in a 4-month-old Infant Associated with Chicken Pox: A Case Report. Pediatr Inf Dis 2020; 2 (3):107-108.

DOI: 10.5005/jp-journals-10081-1253

License: CC BY-NC 4.0

Published Online: 25-11-2020

Copyright Statement:  Copyright © 2020; Jaypee Brothers Medical Publishers (P) Ltd.


Abstract

Background: A rare case of lower motor neuron (LMN) facial palsy in a 4-month-old infant, following chicken pox. Case description: A 4-month-old boy was brought with deviation of angle of mouth to the left side and inability to close the right eye, about 10 days after the onset of varicella rashes. The baby did not have any other problem. LMN facial palsy was diagnosed and treated with acyclovir along with a short course of prednisolone. Follow-up, 8 weeks after starting treatment, showed complete recovery of facial palsy. Message: LMN facial palsy is a rare complication of varicella infection. This is the youngest patient known to us so far.


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  1. Yilmaz C, Çaksen H. Severe neurological complications of chickenpox: report of four cases. Eur J Gen Med 2005;2(4):177–179. DOI: 10.29333/ejgm/82340.
  2. Philip SL, Mona M, Anne AG. Nelson text book of Paediatrics. 21st ed., vol. 1. Elsevier; p. 1711.
  3. Gnann Jr JW. Varicella-zoster virus: a typical presentations and unusual complications. J Infect Dis 2002;186(1):S91–S98. DOI: 10.1086/342963.
  4. Shiihara H. Neurological complications of varicella-zoster virus (VZV) infection. No To Hattatsu 1993;25(2):128–134.
  5. Odemis E, Turkay S, Tunca A, et al. Acute peripheral facial palsy during chickenpox in a child. J Pediatr Neurol 2004;2(4):245–246. DOI: 10.1055/s-0035-1557228.
  6. Tanaka T, Iwai K, Sudo M. A case report of facial nerve palsy in an infant associated with chickenpox. Pract Otorhinolaryngol 2001;94:421–425. DOI: 10.5631/jibirin.94.421.
  7. Peters AC, Versteeg J, Lindeman J, et al. Varicella and acute cerebellar ataxia. Arch Neurol 1978;35(11):769–771. DOI: 10.1001/archneur.1978.00500350073016.
  8. Miller HG, Stanton JB, Gibbons JL. Parainfectious encephalomyelitis and related syndromes: critical review of neurological complications of certain fevers. Q J Med 1956;25(100):427–505.
  9. Rama Rao GR, Amareswar A, Kishan Kumar YH, et al. Isolated facial palsy in varicella. Indian J Dermatol Venereol Leprol 2008;74(3): 261–262. DOI: 10.4103/0378-6323.41377.
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