<?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>1683-9803</journal-id>
<journal-title><![CDATA[Pediatría (Asunción)]]></journal-title>
<abbrev-journal-title><![CDATA[Pediatr. (Asunción)]]></abbrev-journal-title>
<issn>1683-9803</issn>
<publisher>
<publisher-name><![CDATA[Sociedad Paraguaya de Pediatría]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S1683-98032025000300231</article-id>
<article-id pub-id-type="doi">10.31698/ped.52032025011</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Parálisis facial periférica como manifestación infrecuente de la infección por Virus Epstein- Barr: reporte de un caso pediátrico y revisión de la literatura]]></article-title>
<article-title xml:lang="en"><![CDATA[Peripheral facial paralysis as an uncommon manifestation of epstein-barr virus infection: a pediatric case report and literature review]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Zacañino]]></surname>
<given-names><![CDATA[Ezequiel]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Juarez]]></surname>
<given-names><![CDATA[Ximena]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Burundarena]]></surname>
<given-names><![CDATA[Carmen]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Hospital General de Niños Pedro de Elizalde  ]]></institution>
<addr-line><![CDATA[Ciudad Autónoma de Buenos Aires ]]></addr-line>
<country>Argentina</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>12</month>
<year>2025</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>12</month>
<year>2025</year>
</pub-date>
<volume>52</volume>
<numero>3</numero>
<fpage>231</fpage>
<lpage>236</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.iics.una.py/scielo.php?script=sci_arttext&amp;pid=S1683-98032025000300231&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.iics.una.py/scielo.php?script=sci_abstract&amp;pid=S1683-98032025000300231&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.iics.una.py/scielo.php?script=sci_pdf&amp;pid=S1683-98032025000300231&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN La parálisis facial periférica (PFP) en pediatría suele ser idiopática, clásicamente atribuida a reactivación del virus del herpes simple 1 (VHS1), aunque puede ser secundaria a otras infecciones virales; entre las cuales el virus de Epstein-Barr (VEB) representaría una asociación muy infrecuente y con escasos reportes publicados. Se presenta el caso de una niña de 8 años, previamente sana, que consulta por cuadro febril, con odinofagia, astenia, adenopatías cervicales y PFP derecha. Los análisis de laboratorio evidenciaron leucocitosis y aumento de enzimas hepáticas. Las serologías confirmaron la infección aguda por VEB (IgM anti-VCA positivo, IgG anti-VCA negativo), siendo el resto negativas. No se hallaron vesículas en conducto auditivo. Recibió corticoides sistémicos y kinesioterapia, presentando mejoría clínica desde la segunda semana. La asociación entre VEB y PFP, aunque rara, debe considerarse en niños con síntomas compatibles con mononucleosis que se presentan con PFP. El tratamiento corticoideo temprano podría mejorar el pronóstico.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT Peripheral facial paralysis (PFP) in pediatrics is usually idiopathic, classically attributed to reactivation of herpes simplex virus 1 (HSV-1), although it can be secondary to other viral infections; among these, Epstein-Barr virus (EBV) represents a very rare association with few published reports. We present the case of an 8-year-old girl, previously healthy, who presented with fever, odynophagia, asthenia, cervical lymphadenopathy, and right-sided PFP. Laboratory tests revealed leukocytosis and elevated liver enzymes. Serological tests confirmed acute EBV infection (positive anti-VCA IgM, negative anti-VCA IgG), with all other tests being negative. No vesicles were found in the ear canal. She received systemic corticosteroids and physical therapy, showing clinical improvement from the second week onward. The association between EBV and facial paralysis, although rare, should be considered in children with symptoms consistent with mononucleosis who present with facial paralysis. Early corticosteroid treatment may improve the prognosis.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Epstein-Barr virus]]></kwd>
<kwd lng="es"><![CDATA[parálisis facial]]></kwd>
<kwd lng="es"><![CDATA[mononucleosis infecciosa]]></kwd>
<kwd lng="en"><![CDATA[Epstein-Barr virus]]></kwd>
<kwd lng="en"><![CDATA[facial paralysis]]></kwd>
<kwd lng="en"><![CDATA[infectious mononucleosis]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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