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Infectious mononucleosis presenting as a parotid mass with associated facial nerve palsy

P A Johnson1, C Avery

  • 1Department of Oral and Maxillofacial Surgery, Central Outpatients Department, North Staffs Hospital Centre, Stroke-on-Trent, England.

International Journal of Oral and Maxillofacial Surgery
|August 1, 1991
PubMed

Insights

Infectious mononucleosis can mimic malignant neoplasms, presenting as parotid lymphadenopathy and facial nerve palsy. This case highlights the importance of considering viral infections in differential diagnoses.

Area of Science:

  • Otolaryngology
  • Neurology
  • Infectious Diseases

Background:

  • Facial nerve palsy and parotid lymphadenopathy can present diagnostic challenges.
  • Malignant neoplasms are often considered in the differential diagnosis of these conditions.
  • Infectious mononucleosis is a common viral illness with varied presentations.

Observation:

  • A case of infectious mononucleosis presenting with parotid lymphadenopathy and partial facial nerve palsy is detailed.
  • The clinical presentation mimicked a malignant neoplasm, causing diagnostic confusion.
  • The association between infectious mononucleosis and facial nerve palsy is noted.

Findings:

  • Infectious mononucleosis should be considered in the differential diagnosis of parotid lymphadenopathy and facial nerve palsy.
  • Viral infections, including infectious mononucleosis, can lead to facial nerve palsy.
  • Diagnostic confusion with malignant neoplasms is a significant consideration.

Implications:

  • This case underscores the need for a broad differential diagnosis in patients with parotid swelling and facial nerve weakness.
  • Early recognition of infectious mononucleosis can prevent unnecessary invasive procedures.
  • Further review of literature on viral causes of facial nerve palsy is warranted.

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