<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>2183-8453</journal-id>
<journal-title><![CDATA[Revista Portuguesa de Saúde Ocupacional online]]></journal-title>
<abbrev-journal-title><![CDATA[RPSO]]></abbrev-journal-title>
<issn>2183-8453</issn>
<publisher>
<publisher-name><![CDATA[Ajeogene Serviços Médicos Lda]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S2183-84532021000200042</article-id>
<article-id pub-id-type="doi">10.31252/rpso.23.10.2021</article-id>
<title-group>
<article-title xml:lang="pt"><![CDATA[PARALISIA FACIAL COMO PRIMEIRA MANIFESTAÇÃO DE COVID-19 EM PROFISSIONAL DE SAÚDE]]></article-title>
<article-title xml:lang="en"><![CDATA[FACIAL PALSY AS FIRST EXPRESSION OF COVID-19 IN A HEALTHCARE WORKER]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Roque]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Pimenta]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Ribeiro]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Correia]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Martinho]]></surname>
<given-names><![CDATA[T]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Perea]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Fonnegra]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Centro Hospitalar Lisboa Ocidental Hospital de Santa Cruz ]]></institution>
<addr-line><![CDATA[Carnaxide ]]></addr-line>
</aff>
<aff id="Af2">
<institution><![CDATA[,Centro Hospitalar Lisboa Ocidental  ]]></institution>
<addr-line><![CDATA[Carnaxide ]]></addr-line>
</aff>
<aff id="Af3">
<institution><![CDATA[,Centro Hospitalar Lisboa Ocidental  ]]></institution>
<addr-line><![CDATA[Carnaxide ]]></addr-line>
</aff>
<aff id="Af4">
<institution><![CDATA[,Centro Hospitalar Lisboa  ]]></institution>
<addr-line><![CDATA[Lisboa ]]></addr-line>
</aff>
<aff id="Af5">
<institution><![CDATA[,Hospitalar Graduada de Medicina do Trabalho Hospitalar de Medicina Interna. ]]></institution>
<addr-line><![CDATA[Carnaxide ]]></addr-line>
</aff>
<aff id="Af6">
<institution><![CDATA[,Hospitalar em Medicina do Trabalho do CHLO  ]]></institution>
<addr-line><![CDATA[Carnaxide ]]></addr-line>
</aff>
<aff id="Af7">
<institution><![CDATA[,Hospitalar em Medicina do Trabalho do CHLO  ]]></institution>
<addr-line><![CDATA[Carnaxide ]]></addr-line>
</aff>
<pub-date pub-type="pub">
<day>30</day>
<month>12</month>
<year>2021</year>
</pub-date>
<pub-date pub-type="epub">
<day>30</day>
<month>12</month>
<year>2021</year>
</pub-date>
<volume>12</volume>
<fpage>42</fpage>
<lpage>47</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.pt/scielo.php?script=sci_arttext&amp;pid=S2183-84532021000200042&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.pt/scielo.php?script=sci_abstract&amp;pid=S2183-84532021000200042&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.pt/scielo.php?script=sci_pdf&amp;pid=S2183-84532021000200042&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="pt"><p><![CDATA[RESUMO  Introdução A COVID-19 é uma infeção respiratória causada pelo coronavírus SARS-CoV-2, de elevada transmissibilidade e de distribuição global. Apesar de precoces, os dados atuais apontam para a capacidade do SARS-CoV-2 atingir o sistema nervoso central, periférico e até mesmo o músculo.  Descrição do Caso Clínico Este caso diz respeito a uma profissional de saúde, 31 anos de idade, em contacto diário com doentes COVID-19. Recorreu ao Serviço de Urgência, por alteração da sensibilidade da hemiface direita e assimetria facial, tendo tido alta medicada e sendo assumido o diagnóstico de Paralisia de Bell. Cerca de uma semana após este episódio, recorre novamente por mal-estar geral, febre, náuseas e vómitos, procedendo-se ao despiste de COVID-19, que se revelou positivo.  Discussão/Conclusão O relato deste caso apoia a hipótese da paralisia do nervo facial como uma possível manifestação neurológica devido à infeção por COVID-19. Reforça também a importância de exame físico cuidado e historial médico detalhado, evitando atrasos no diagnóstico e consequentemente a transmissibilidade do vírus.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT  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.]]></p></abstract>
<kwd-group>
<kwd lng="pt"><![CDATA[Paralisia Facial]]></kwd>
<kwd lng="pt"><![CDATA[Síndrome Bell]]></kwd>
<kwd lng="pt"><![CDATA[COVID-19]]></kwd>
<kwd lng="pt"><![CDATA[Doença Profissional]]></kwd>
<kwd lng="pt"><![CDATA[Saúde Ocupacional]]></kwd>
<kwd lng="en"><![CDATA[Facial Palsy]]></kwd>
<kwd lng="en"><![CDATA[Bell&#8217;s Syndrome]]></kwd>
<kwd lng="en"><![CDATA[COVID-19]]></kwd>
<kwd lng="en"><![CDATA[Occupational Disease]]></kwd>
<kwd lng="en"><![CDATA[Occupational Health]]></kwd>
</kwd-group>
</article-meta>
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