Can PIMS-TS lead to a facial nerve palsy?. Issue 6 (14th June 2021)

• Record Type: Journal Article
• Authors: Hookham, Lauren; Teoh, Penelope; Stern, William; Goodman, Anna L
• Is Part Of: BMJ case reports. Volume 14:Issue 6(2021)
• Publication Date: 2021-06-14
• Subjects: COVID-19 -- infectious diseases -- neurology -- cranial nerves; Medicine -- Case studies -- Periodicals; 610.5
• DOI: 10.1136/bcr-2021-242887
• Languages: English
• ISSNs: 1757-790X

Abstract

Abstract : Paediatric inflammatory multisystem syndrome—temporally associated with SARS-CoV-2 (PIMS-TS) is a recently described syndrome. We describe the case of a 17-year-old man presenting with a recent illness consistent with COVID-19 who presented with fever, chest pain and anterior uveitis. He was treated with aspirin, pulsed methylprednisolone and tocilizumab followed by oral steroids. On day 16 from initial presentation, he developed a facial nerve palsy. He was managed with ongoing steroids and the addition of valaciclovir. PIMS-TS is an under-recognised condition among adult physicians and may not be well known in adult neurology. It is important for adult physicians and neurologists to be aware of PIMS-TS and its possible sequelae.