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Parotid mass: Epstein-Barr virus and facial paralysis

C M Long1, J E Kerschner

  • 1Division 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.

International Journal of Pediatric Otorhinolaryngology
|May 30, 2001
PubMed

Insights

Infectious mononucleosis can cause rare neurological issues like facial nerve palsy in children. Early diagnosis and conservative treatment led to recovery, highlighting the need to rule out infection before surgery.

Area of Science:

  • Pediatric Neurology
  • Infectious Diseases
  • Otolaryngology

Background:

  • Infectious mononucleosis, typically caused by Epstein-Barr virus, is common in adolescents and young adults.
  • While generally self-limiting, neurological complications, though rare, can occur.
  • Cranial nerve neuropathies are among the uncommon neurological manifestations.

Observation:

  • This report details a pediatric case of infectious mononucleosis presenting with an unusual parotid mass.
  • The patient also exhibited facial nerve palsy, a rare neurological symptom for this condition.
  • Diagnostic confirmation involved a monospot test and Epstein-Barr virus antibody panel.

Findings:

  • The pediatric patient diagnosed with infectious mononucleosis and facial nerve palsy was managed conservatively.
  • Near-total recovery of facial nerve function was observed post-treatment.
  • The parotid mass was associated with the infectious etiology.

Implications:

  • This case underscores the importance of considering infectious causes, such as Epstein-Barr virus, in pediatric patients presenting with facial nerve paresis and parotid masses.
  • It suggests that surgical intervention may not be necessary and conservative management can be effective.
  • Highlights the need for a thorough differential diagnosis in pediatric cases with facial nerve palsy and parotid swelling.

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