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Culprit of facial nerve palsy
  1. Mónica Martins Teixeira,
  2. Rita Soares,
  3. Nuno Monteiro
  1. Department of Internal Medicine, Centro Hospitalar Tondela-Viseu EPE, Viseu, Portugal
  1. Correspondence to Dr. Mónica Martins Teixeira, Department of Internal Medicine, Centro Hospitalar Tondela-Viseu EPE, Viseu 3509-504, Portugal; monicamteixeira.9{at}gmail.com

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Clinical introduction

A female patient aged 78 years with a medical history of hypertension, type 2 diabetes and dyslipidemia, presented with right otalgia. At her first consultation, amoxicillin and clavulanic acid and topical ofloxacin were prescribed after the suggestion of a bacterial infection process, but without improvement of the symptoms. She arrived at our ED 3 days later with an acute onset of impaired facial expression and ocular pain. On physical examination, she was noted to have right conjunctival hyperemia, right-sided …

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