Pearls and Oy-sters: Facial nerve palsy as a neurological manifestation of Covid-19 infection.

In early March 2020, a previously well 27-year-old gentleman was directly admitted to the isolation ward of a tertiary healthcare center in Singapore with symptoms of myalgia, cough and fever for 4 days. His symptoms started the day after he returned from Spain. He also complained of a new left-sided throbbing headache with no associated photophobia or neck stiffness. On examination, he had mild bilateral conjunctival injection and respiratory examination was unremarkable. He did not have any focal neurologic deficits. Chest radiography did not show any infiltrates and a nasopharyngeal swab returned positive for SARS-CoV-2 on real-time reverse-transcription–polymerase-chain-reaction (RT-PCR) assay.