MDcooper
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9-year-old boy is brought to the pediatric clinic by his mother, who noticed that the left side of his mouth has started to droop over the past several days. In addition, he is unable to close his left eye completely and complains of it burning. Review of systems reveals a cold approximately two weeks ago and recent decreased taste sensation.Physical examination reveals a well nourished male with normal vital signs. There is left eye ptosis and mild erythema of the left conjunctiva. His smile is asymmetrical on the left. Laboratory evaluation, including a complete blood count and chemistry profile, are normal. Which of the following infections is most closely associated with this patient's condition?
A.
Epstein-Barr Virus
B.
Group A Streptococcus
C.
Human Immunodeficiency Virus
D.
Influenza
E.
Measles
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| prathapdoctor
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? D.INFLUENZA.
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| mazinger
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This patient presents with a perypherall facial nerve palsy.. Between the options listed I think the one I go for is the measles virus... not a 100% sure, but thats the closest I can get to an eductaed answer...
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original mazinger z
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| robin082006
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Mazinger,
This is Bell's palsy.
If due to infections, think about Lyme disease and EBV.
Here is EBV
Answer must be A.
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| mazinger
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that is a good one robin I was not aware that EBV could give you a facial palsy, since its main target are lymphocites anyways good answer..
BTW good to see you robin...
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original mazinger z
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| MDcooper
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bells palsy.seen with lymes,EBV and mumps
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| prathapdoctor
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good information guys,thank you.
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