Facial palsy, the importance of taking a good medical history

Alicia Gaitero, Carmen Martínez, Paula Cabrera, M. Illán, Arantxa Berzosa, José Tomás Ramos
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Abstract

Facial palsy poses a wide differential diagnosis in pediatrics, especially when it is accompanied by symptoms that make it doubtful whether Bell's palsy is present. It is essential to perform a correct anamnesis to rule out diagnoses that require early detection and treatment to improve the prognosis. Lyme disease (EL) is one of the possible causes of facial palsy, having been seldom described in children in Spain. We present the case of an 11-years-old male with diagnosis of facial palsy associated with B. burgdorferi infection with favorable evolution after treatment with doxycycline.
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面瘫,了解病史的重要性
面瘫在儿科中的鉴别诊断范围很广,尤其是当面瘫伴有一些症状,让人怀疑是否存在贝尔氏麻痹时。必须进行正确的病史分析,以排除需要早期发现和治疗以改善预后的诊断。莱姆病(EL)是导致面瘫的可能原因之一,但在西班牙的儿童中很少见。我们介绍了一例 11 岁男性患者的病例,他被诊断为与 B. burgdorferi 感染有关的面瘫,在接受强力霉素治疗后病情得到了良好的发展。
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