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2020, Number 1

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Rev Clin Esc Med 2020; 10 (1)

Compromiso oculomotor y glosofaríngeo en un paciente con neuroleptospirosis

Calderón VG, Salazar BJD, García QC
Full text How to cite this article

Language: Spanish
References: 9
Page: 62-65
PDF size: 680.15 Kb.


Key words:

Leptospirosis, cranial polyneuropathy, glossopharyngeal nerve, oculomotor nerve, aseptic meningitis.

ABSTRACT

A 65-year-old male attended the emergency department with acute onset constitutional symptoms and fever. Acute kidney injury and a mixed pattern on liver function test were documented, oral antibiotic therapy was started and the patient was discharged, nonetheless, he reattended the emergency department a week later due to neurological symptoms; a third and ninth nerve palsies were diagnosed. Further studies confirmed the diagnosis of Leptospirosis.


REFERENCES

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  2. Bal AM Unusual Clinical Manifestations of Leptospirosis J Postgrad Med. 2005 Jul-Sep;51(3):179-183.

  3. Rajapakse S Rodrigo C Balaji K et al. Atypical manifestations of leptospirosis. Trans R Soc Trop Med Hyg 2015; 109: 294-302.

  4. 4.Mahesh M Shivanagappa M Venkatesh C. Bilateral Abducent Palsy in Leptospirosis- An Eye Opener to a Rare Neuro Ocular Manifestation: A Case Report. Iran J Med Sci. 2015 Nov;40(6):544-7.

  5. Silva A Ducroquet M Pedrozo Junior J. Bilateral facial palsy associated with leptospirosis. Braz J Infect Dis 2009;13(4).

  6. El Bouazzaoui A, Houari N, Arika A et al. Facial palsy associated with leptospirosis. Eur Ann Otorhinolaryngol Head Neck Dis 2011;128(5):275-277.

  7. Costa E Sacramento E Lopes AA, et al. Facial nerve palsy associated with leptospirosis. Rev Soc Bras Med Trop. 2001;34:219-20

  8. A.O. Lahsen T. Rachidi M. Sodqi, et al., K. Elfilali Marhoum Facial palsy associated with leptospirosis Med Mal Infect, 31 (2010), pp. 716-717

  9. Cagliero J, Villanueva S Matsui M. Leptospirosis Pathophysiology: Into the Storm of Cytokines. Front Cell Infect Microbiol. 2018 Jun 20;8:204.




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Rev Clin Esc Med. 2020;10