Isolated facial palsy after Chikungunya infection: A novel differential diagnosis
Abstract
A significant raise in the reports of neurological manifestations due to Chikungunya virus has been described worldwide. Here, we describe a case report of a previously healthy young adult who developed isolated left facial palsy after a confirmed Chikungunya virus infection in the Colombian tropics.
We suggest considering this virus as a differential diagnosis for facial palsy in patients with confirmed Chikungunya virus infection who live in endemic regions or report a history of recent travel to these regions.
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References
Petersen LR, Powers AM. Chikungunya: Epidemiology. F1000Res. 2016;19:82. https://doi.org/10.12688/f1000research.7171.1
Gupta P, Singh A, Meena R. Atypical neurological manifestations of chikungunya fever: Two case reports. Indian J Crit Care Med. 2018;22:306-8. https://doi.org/10.4103/ijccm.IJCCM_459_17
Brito CAA, Azevedo F, Cordeiro MT, Marques ET, Franca RF. Central and peripheral nervous system involvement caused by Zika and chikungunya coinfection. PLoS Negl Trop Dis. 2017;11:e0005583. https://doi.org/10.1371/journal.pntd.0005583
Ng LFP. Immunopathology of chikungunya virus infection: Lessons learned from patients and animal models. Annu Rev Virol. 2017;4:413-27. https://doi.org/10.1146/annurev-virology-101416-041808
Padilla JC, Lizarazo FE, Murillo OL, Mendigaña FA, Pachón E, Vera MJ. Epidemiología de las principales enfermedades transmitidas por vectores en Colombia, 1990-2016. Biomédica. 2017;37(Supl.2):27-40. https://doi.org/10.7705/biomedica.v37i0.3769
Pinheiro TJ, Guimarães LF, Silva MTT, Soares CN. Neurological manifestations of Chikungunya and Zika infections. Arq Neuro-Psiquiatr. 2016;74:937-43. https://doi.org/10.1590/0004-282X20160138
Brito Ferreira ML, Militão de Albuquerque M de FP, de Brito CAA, de Oliveira França RF, Porto Moreira ÁJ, de Morais Machado MÍ, et al. Neurological disease in adults with Zika and Chikungunya virus infection in Northeast Brazil: A prospective observational study. Lancet Neurol. 2020;19:826-39. https://doi.org/10.1016/S1474-4422(20)30232-5
Mehta R, Gerardin P, de Brito CAA, Soares CN, Ferreira MLB, Solomon T. The neurological complications of Chikungunya virus: A systematic review. Rev Med Virol. 2018;28:e1978. https://doi.org/10.1002/rmv.1978
Mohite AA, Agius-Fernández A. Chikungunya fever presenting with acute optic neuropathy. BMJ Case Reports. 2015;2015:bcr2015210081. https://doi.org/10.1136/bcr-2015-210081
Benzekri R, Merle H, Hage R. Third cranial nerve palsy in the setting of Chikungunya virus infection. Am J Trop Med Hyg. 2016;95:180-1. https://doi.org/10.4269/ajtmh.15-0547
Agarwal A, Vibha D, Srivastava AK, Shukla G, Prasad K. Guillain-Barre syndrome complicating chikungunya virus infection. J Neurovirol. 2017;23:504-7. https://doi.org/10.1007/s13365-017-0516-1
Acevedo N, Waggoner J, Rodríguez M, Rivera L, Landivar J, Pinsky B, et al. Zika virus, chikungunya virus, and dengue virus in cerebrospinal fluid from adults with neurological manifestations, Guayaquil, Ecuador. Front Microbiol. 2017;8:42. https://doi.org/10.3389/fmicb.2017.00042
Inglis FM, Lee KM, Chiu KB, Purcell OM, Didier PJ, Russell-Lodrigue K, et al. Neuropathogenesis of chikungunya infection: Astrogliosis and innate immune activation. J Neurovirol. 2016;22:140-8. https://doi.org/10.1007/s13365-015-0378-3
Kashyap RS, Morey S, Bhullar S, Baheti N, Chandak N, Purohit H, et al. Determination of toll-like receptor-induced cytokine profiles in the blood and cerebrospinal fluid of chikungunya patients. Neuroimmunomodulation. 2014;21:338-46. https://doi.org/10.1159/000358240
Goh Y, Beh DLL, Makmur A, Somani J, Chan ACY. Pearls & Oy-sters: Facial nerve palsy in COVID-19 infection. Neurology. 2020;95:364-7. https://doi.org/10.1212/WNL.0000000000009863
Dinkin M, Gao V, Kahan J, Bobker S, Simonetto M, Wechsler P, et al. COVID-19 presenting with ophthalmoparesis from cranial nerve palsy. Neurology. 2020;95:221-3. https://doi.org/10.1212/WNL.0000000000009700
Helbok R, Beer R, Löscher W, Boesch S, Reindl M, Hornung R, et al. Guillain‐Barré syndrome in a patient with antibodies against SARS‐COV‐2. Eur J Neurol 2020;27:1754-6. https://doi.org/10.1111/ene.14388
Whittaker A, Anson M, Harky A. Neurological manifestations of COVID‐19: A systematic review and current update. Acta Neurol Scand. 2020;142:14-22. https://doi.org/10.1111/ane.13266
Natoli S, Oliveira V, Calabresi P, Maia LF, Pisani A. Does SARS‐Cov‐2 invade the brain? Translational lessons from animal models. Eur J Neurol. 2020;27:1764-73. https://doi.org/10.1111/ene.14277
Zammit M, Markey A, Webb C. A rise in facial nerve palsies during the coronavirus disease 2019 pandemic. J Laryngol Otol. 2020;134:905-8. https://doi.org/10.1017/S0022215120002121
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