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

IF 1 Q3 MEDICINE, GENERAL & INTERNAL Cureus Pub Date : 2025-01-05 eCollection Date: 2025-01-01 DOI:10.7759/cureus.76953
Milena Mitkova, Julide Kasaboglu, Silvia Valcheva, Raina Gergova, Diana Popova, Alexandra Alexandrova
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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 Haemophilus influenzae (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.

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非分型流感嗜血杆菌引起的急性中耳炎并发面神经麻痹患儿一例。
面瘫是急性中耳炎(AOM)的一种罕见而严重的潜在并发症。我们描述了一个儿科病例,快速进行性面神经麻痹作为AOM的次要并发症,由不可分型的流感嗜血杆菌(NTHi)菌株引起,通过面神经减压、糖皮质激素药物和抗菌化疗进行治疗。NTHi在某些患者中致病性的原因尚不完全清楚,导致并发症的具体相互作用和适应必须进一步研究,因为它们导致更复杂的治疗方法。
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