Epstein-Barr Virus With Underlying Advanced Human Immunodeficiency Virus Infection Causing Bilateral Peripheral Facial Palsy and Aseptic Meningitis

Many viral infections causing unilateral peripheral facial palsy (PFP) are well described. They infrequently produce bilateral PFP. Human immunodeficiency virus (HIV) and Epstein-Barr virus (EBV) are known to cause bilateral PFP independently. Bilateral PFP from EBV is reported mainly in children; it rarely occurs in an adult. Advanced HIV infection makes an adult more likely to have EBV-related bilateral PFP. We describe a patient with bilateral peripheral facial weakness from EBV with an underlying HIV infection.