Compromiso oculomotor y glosofaríngeo en un paciente con neuroleptospirosis

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.