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Scand J Infect Dis. 2004;36(5):386-8.

Bilateral facial palsy in a case of leptospirosis.

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  • 1Department of Internal Medicine, Forum Health/Northside Medical Center, Youngstown, OH 44406, USA.


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.

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