Facial palsy, the importance of taking a good medical history

Alicia Gaitero Pérez^a, Carmen Martínez del Río^b, Paula Cabrera Cascajero^a, Marta Illán Ramos^b, Arantxa Berzosa Sánchez^b, José Tomás Ramos Amador^c

^aMIR-Pediatría. Hospital Clínico San Carlos. Madrid. España.
^bServicio de Pediatría. Hospital Clínico San Carlos. Madrid. España.
^cServicio de Pediatría. Hospital Clínico San Carlos. Madrid. IdISSC. Departamento de Salud Pública y Materno-infantil. Universidad Complutense. Madrid. España.

Correspondence: A Gaitero. E-mail: aligaitero@hotmail.com

Reference of this article: Gaitero Pérez A, Martínez del Río C, Cabrera Cascajero P, Illán Ramos M, Berzosa Sánchez A, Ramos Amador JT. Facial palsy, the importance of taking a good medical history. Rev Pediatr Aten Primaria. 2024;26:65-9. https://doi.org/10.60147/a9dab015

Published in Internet: 06-03-2024 - Visits: 964

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.

Keywords

● Facial palsy ● Lyme disease ● Neuroborreliosis

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