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Braz J Infect Dis. 2009 Aug;13(4):319-21.

Bilateral facial palsy associated with leptospirosis.

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Internal Medicine Department, Hospital de Clínicas da Universidade Federal do Paraná, Curitiba, PR, Brazil.


Leptospirosis is a zoonosis of worldwide occurrence caused by the spirochete Leptospira interrogans. It is an acute feverish disease with a broad clinical spectrum and follows a characteristic biphasic course. Bilateral facial palsy is a rare clinical condition and the differential diagnosis of its causes is extensive. The objective of this exploratory study, presented as a case report, is to describe the occurrence of bilateral facial palsy as an unusual manifestation of leptospirosis. This suggestion should not be overlooked when analyzing the causes for bilateral facial palsy, and should be considered with other possible differential diagnoses, some of which are potentially fatal.

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