[Postpartum pneumomediastinum associated with subcutaneous emphysema: a case report]

This case report refers to a 21-year-old primigravida, who complained of dyspnoea and was noticed to have unusual swelling of the face and neck after home delivery. A diagnosis of subcutaneous emphysema was made and this was confirmed with the chest X-ray. Pneumomediastinum and hydropneumothorax were also detected. Uneventful recovery over three days followed conservative management.

Facial palsy associated with leptospirosis

INTRODUCTION

The authors report a rare case of facial palsy associated with leptospirosis.

CASE REPORT

A 60-year-old man was admitted to ICU with severe leptospirosis. On the eighth day of hospitalisation, he developed left peripheral facial palsy with a favourable course in response to corticosteroids.

DISCUSSION

Several types of neurological complications of leptospirosis have been reported: encephalitis, myelitis, stroke, cerebral arteritis, mononeuritis, polyradiculoneuropathy, and cranial nerve palsy. Peripheral facial palsy is a rare complication of leptospirosis.

CONCLUSION

This case illustrates the possible association between leptospirosis and facial palsy.