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Revista Portuguesa de Saúde Ocupacional online
Print version ISSN 2183-8453
Abstract
ROQUE, A et al. FACIAL PALSY AS FIRST EXPRESSION OF COVID-19 IN A HEALTHCARE WORKER. RPSO [online]. 2021, vol.12, pp.42-47. Epub Mar 25, 2022. ISSN 2183-8453. https://doi.org/10.31252/rpso.23.10.2021.
Introduction
COVID-19 is an acute respiratory infection caused by SARS-CoV-2 coronavirus, globally distributed and highly transmissible. Recent data shows the capacity of this virus to reach central, peripherical nervous system even though the muscle.
Clinical Case Report
This is a case report of a healthcare worker, 31 years old in daily contact with COVID-19 patients. She developed right-side sensitivity changes and facial asymmetry, that is why she attended to an Emergency Room, where she was observed, medicated and being diagnosed with Bell's Palsy. One week later, she attended again due to fever, nausea and vomiting, the screening for COVID-19 turned out to be positive.
Discussion/Conclusion
This case report supports facial palsy as a possible neurological expression of COVID-19 infection. It turns out to be important a careful physical examination and detailed medical history, avoiding late diagnoses and, consequently, spreading of the virus.
Keywords : Facial Palsy; Bell’s Syndrome; COVID-19; Occupational Disease; Occupational Health.