Document Detail


Cat scratch disease presenting with peripheral facial nerve paralysis.
MedLine Citation:
PMID:  9565446     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Acquired peripheral facial nerve paralysis is a relatively common disorder that affects both children and adults. The most frequent nontrauma-related etiologies in otherwise neurologically intact patients are idiopathic (Bell's palsy) and infectious, which includes otitis media, herpes zoster, Lyme disease, herpes simplex virus, Epstein-Barr virus, and Mycoplasma pneumoniae. Cat scratch disease (CSD) is typically a subacute, regional lymphadenitis caused by Bartonella henselae that is seen in children and young adults. CSD most often has a benign, self-limited course. However, 11% of CSD patients may present atypically, most commonly with Perinaud's oculoglandular syndrome or acute encephalopathy. We present a child with the first reported case of acute facial nerve paralysis in serologically proven CSD with typical lymphadenitis.
Authors:
R S Walter; S C Eppes
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Pediatrics     Volume:  101     ISSN:  1098-4275     ISO Abbreviation:  Pediatrics     Publication Date:  1998 May 
Date Detail:
Created Date:  1998-09-17     Completed Date:  1998-09-17     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0376422     Medline TA:  Pediatrics     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  E13     Citation Subset:  IM    
Affiliation:
Division of General Pediatrics Department of Pediatrics Thomas Jefferson University duPont Hospital for Children, Wilmington, DE 19899, USA.
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MeSH Terms
Descriptor/Qualifier:
Cat-Scratch Disease / complications*
Child, Preschool
Facial Paralysis / etiology*
Humans
Male

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