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Journal of the Korean Pediatric Society 1993;36(4):579-582.
Published online April 15, 1993.
A Case of Infectious Mononucleosis Associated with Facial Nerve Palsy
Ho-Suk Lee1, Jin-Park 1, Il-Soo Kim1, Sung-Ho Cha1, Byoung-Soo Cho1, Chang-Il Ahn1
1Department of Pediatrics, College of Medicine, Kyung Hee University, Seoul, Korea
1Department of Pediatrics, College of Medicine, Kyung Hee University, Seoul, Korea
1Department of Pediatrics, College of Medicine, Kyung Hee University, Seoul, Korea
1Department of Pediatrics, College of Medicine, Kyung Hee University, Seoul, Korea
1Department of Pediatrics, College of Medicine, Kyung Hee University, Seoul, Korea
일측 안면신경 마비를 동반한 전염성 단핵구증 1례
이호석1, 박진1, 김일수1, 차성호1, 조병수1, 안창일1
1경희대학교 의과대학 소아과학교실
1경희대학교 의과대학 소아과학교실
1경희대학교 의과대학 소아과학교실
1경희대학교 의과대학 소아과학교실
1경희대학교 의과대학 소아과학교실
Abstract
Infectious Mononucleosis is a common sysemic illness primarily invloving children and young adults and due apparently to the Epstein-Barr virus (EBV). Although the typical case is easily recogniged, unusual manifestations or serious complications occur frequently enough to pose problems in diagnosis and management. Neurologic complications are rare(1%). These nerologic complications may actually precede the full clinical picture or presen: as the sole manifestation of the illness, thereby causing a confusing clinical picture and delay in diagnosis. We have experienced a case of infectious mononucleosis associated with facial nerve palsy in a 22-months old female. She was admitted to the hospital with the fever, right facial nerve palsy and hepatosplenomegaly. The diagnosis was made on the clinical findings, immunologic findings and the typical findings of peripheral blood smear. On peripheral blood smear, atypical lympocytes with relative lympocytosis were seen. On Immunologic study EBA anti-VCA IgM titer was 1:20 and the IgG titer was 1:40. To our knowledge, this is the first report in Korea. So, we report this case and the brief literatures of infectious mononucleosis associated with neurologic complications and other viral diseases which caused facial nerve palsy.
Key Words: Infectious Mononucleosis, Facial nerve palsy


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