Bilateral facial palsy in a case of leptospirosis.

Maldonado F, Portier H, Kisterman JP
Scand J Infect Dis. 2004 36 (5): 386-8

PMID: 15287387 · DOI:10.1080/00365540410020299

When returning from a 5-month trip to China, a 21-y-old Dutch male developed clinical signs, symptoms, and an antibody response compatible with leptospirosis. On d 15 of disease, he also developed facial palsy with a bilateral Bell's phenomenon. Facial palsy is a rare finding in leptospirosis, and if a causal relation exists, the delay of onset in the present case would suggest vasculitis rather than a direct neurotoxic effect.

MeSH Terms (17)

Adult Anti-Bacterial Agents China Denmark Drug Therapy, Combination Facial Paralysis Humans Leptospira Leptospirosis Magnetic Resonance Imaging Male Risk Assessment Serologic Tests Severity of Illness Index Steroids Travel Treatment Outcome

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