Internal Medicine Department, Hospital de Clínicas da Universidade Federal do Paraná, Curitiba, PR, Brazil.
Braz J Infect Dis. 2009 Aug;13(4):319-21. doi: 10.1590/s1413-86702009000400017.
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.
钩端螺旋体病是一种由螺旋体钩端螺旋体引起的世界性动物源性传染病。它是一种急性发热性疾病，具有广泛的临床谱，并遵循特征性的双相病程。双侧面瘫是一种罕见的临床情况，其病因的鉴别诊断范围广泛。本探索性研究以病例报告的形式介绍了双侧面瘫作为钩端螺旋体病的一种不常见表现。在分析双侧面瘫的病因时，不应忽视这一提示，应与其他可能的鉴别诊断一起考虑，其中一些鉴别诊断可能是致命的。
