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Brain MRI was unremarkable, and lumbar puncture disclosed a low-grade, mononuclear cerebrospinal fluid pleocytosis; the patient was treated supportively. She returned for induction of labour at 39 weeks, at which time HIV infection was unexpectedly diagnosed. While unilateral idiopathic peripheral facial paralysis is associated with the third trimester of pregnancy and the early postpartum period, bilateral facial paralysis is rare and should prompt work-up for an underlying systemic cause, such as HIV infection.<\/jats:p>","DOI":"10.1136\/bcr-2021-242150","type":"journal-article","created":{"date-parts":[[2021,5,25]],"date-time":"2021-05-25T12:30:57Z","timestamp":1621945857000},"page":"e242150","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":0,"title":["Bilateral peripheral facial paralysis during pregnancy: a presentation of acute HIV seroconversion"],"prefix":"10.1136","volume":"14","author":[{"given":"Adam T","family":"Ladzinski","sequence":"first","affiliation":[{"name":"Department of Medicine, Western Michigan University Homer Stryker MD School of Medicine, Kalamazoo, Michigan, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nicholas 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