Isolated Unilateral Soft Palate Palsy following Tonsillopharyngitis Caused by Epstein-Barr Virus Infection

Abstract

Soft palate palsy with or without pharyngeal or laryngeal paralysis or facial palsy has been described in the literature fewer than 40 times. Of these cases, isolated unilateral soft palate palsy (occurring without any other neurologic manifestation) has been rare. Most cases of isolated soft palate palsy were termed idiopathic in the past. In a few cases, a concomitant viral infection such as varicella zoster, herpes simplex, measles, and coxsackie A9 was diagnosed. We describe a case of isolated soft palate palsy, following a pharyngotonsillitis caused by Epstein-Barr virus. This viral infection has been linked in the past with bilateral facial nerve palsy and radial nerve palsy. Our patient recovered spontaneously over a period of 1 month.

Cleft Palate Syndrome in the Endangered Spectacled Flying Fox (Pteropus conspicillatus): Implications for Conservation and Comparative Research

“…While bats are known to host a diverse number of viruses of livestock and human health significance, little investigation has been conducted into viral pathogens that may have a conservation impact on endangered bat species. In utero virus infection with individual virus species in virus families as diverse as Herpesviridae , Flaviviridae , Paramyxoviridae , Picornaviridae , Bunyaviridae , and Retroviridae [ 22 , 23 , 24 , 25 , 26 , 52 , 53 ], have been shown to be associated with congenital birth deformities in both animal species and humans. Additionally, the interaction between the host genome and viral infection is an important relationship to consider when forming etiological hypotheses for a syndrome that may involve a complex genetic–environment interaction.…”

“…As bats are known to host many and varied viral infections [ 21 ], it is important to consider in utero viral infection as a putative aetiology of cleft palate in bat species. There is commonality in virus families that have been reported in the aetiology of cleft palate in both human and animal species inclusive of the Herpesviridae and Flaviviridae families [ 22 , 23 , 24 , 25 , 26 ].…”

A 22q11.2-microdeletiós szindróma klinikai jellemzői

“…Tobias és mtsai eredményeihez viszonyítva a magyarországi betegcsoportban jóval alacsonyabb az azonosított arcdysmorphia gyakorisága (86% vs. 63,63%), betegeink között azonban magas a születés utáni első évben kivizsgáltak aránya, amikor az egyes arcdysmorphiás jelek azonosítása nehezített [39,40].…”

Prognosis of EBV Infection in Children with Tonsillitis

“…In childhood, besides EBV infection, bacterial infection such as Streptococcus and Staphylococcus might also give rise to tonsillitis, and their low immune function also make them prone to repeated respiratory infections [8][9][10][11]. Now, tonsillitis is primarily treated by antibacterial therapy or immune system regulation [12]. Whereas, tonsillitis might be induced by EBV infection, but specific drugs against EBV are still scarce.…”