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Pathological Case of the Month
R. Hubert Laeng, MD;
Jody Stähelin, MD;
Patrick Schaller, MD;
André Arnoux, MD
From the Departments of Pathology (Dr Laeng), Pediatrics (Dr Stähelin), and Otorhinolaryngology (Drs Schaller and Arnoux), Kantonsspital, Aarau, Switzerland.
Arch Pediatr Adolesc Med. 2002;156:191-192.
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| Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings. |
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A 15-MONTH-OLD girl developed a right facial nerve palsy (Figure 1) while receiving oral treatment with amoxicillin for a sore throat and bilateral otitis media of one week's duration. On physical examination, bilateral otomastoiditis, perforation of the left tympanic membrane, and right-sided cervical lymphadenopathy were found. Bilateral mastoidectomy/antrotomy was performed: on gross inspection, the mucosa appeared dark red, swollen, and polypoid. The diagnostic histological findings of the biopsy specimens are shown in Figure 2 and Figure 3. Oral steroids were given for 5 days, and amoxicillin–clavulanic acid was administered intravenously for 14 days. At follow-up 4 months later there was complete recovery including resolution of the nerve deficit.
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Figure 1.
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Figure 2.
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Figure 3.
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Diagnosis and Discussion: Epstein-Barr Virus Otomastoiditis Associated With Peripheral Facial Nerve Palsy
Figure 1. Peripheral facial nerve palsy photographed the first postoperative day. Peripheral blood leukocyte count was 17 200 x 103. . . [Full Text of this Article]
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