Parotid mass: Epstein-Barr virus and facial paralysis.
Infectious mononucleosis is a common diagnosis in the pediatric and young adult population. Symptoms include low grade fever, malaise, odynophagia, and cervical lymphadenopathy. Neurological manifestations are uncommon, but include cranial nerve neuropathies. We describe a case of infectious mononucleosis in a pediatric patient who presented with a parotid mass and facial nerve palsy. Diagnosis was confirmed with a monospot test and Epstein-Barr virus antibody panel. The patient was managed conservatively with near total recovery of facial nerve function. This case demonstrates the need to consider infectious etiology prior to surgical intervention of a pediatric patient with facial nerve paresis and a parotid mass.
Long
C M
CM
Division of Pediatric Otolaryngology, Department of Otolaryngology and Communication Sciences, Children's Hospital of Wisconsin, Medical College of Wisconsin, 9000 West Wisconsin Avenue, Milwaukee, WI 53226, USA.
Kerschner
J E
JE
D002648:Child; D020031:Epstein-Barr Virus Infections / Q000150:complications* / Q000276:immunology; D005158:Facial Paralysis / Q000821:virology*; D006801:Humans; D007074:Immunoglobulin G / Q000276:immunology; D007244:Infectious Mononucleosis / Q000150:complications* / Q000276:immunology; D008198:Lymph Nodes / Q000821:virology; D008297:Male; D010305:Parotid Diseases / Q000821:virology*
D007074:Immunoglobulin G