Abstract
This study present the details of a case of classical Weil’s Disease, which is a severe form of leptospirosis, presenting with symptoms of fever, jaundice, joint pain, haemorrhagic manifestations and renal failure. Leptospirosis is an uncommon but not rare health problem in a tropical country like India. Clinical manifestations along with the laboratory findings are elaborated, so that a differential diagnosis from other common ailments with similar manifestations can be considered in favour of the disease. An early empirical management on high clinical suspicion can help to avoid multi-organ dysfunction and mortality associated with this disease.
Highlights
Leptospirosis is a blood infection caused by the Leptosira species, which are spirochetes belonging to the order Spirochaetales and the family Leptospiraceae
The designation Weil’s disease came to signify severe leptospirosis characterized by diverse clinical findings, fever, jaundice, acute renal injury, refractory shock, and hemorrhage [2]
Clinical manifestation can be divided into two distinct clinical syndromes - 90% of patients present with mild anicteric febrile illness associated with influenza-like illness with headache and myalgia, 10% are severely ill with jaundice and other manifestations (Weil’s disease)
Summary
Designation: Visiting Consultant Internal Medicine, Kamala Ray Hospital, 20, Kotrung, G.T. Publication history: Received on 03 January 2021; revised on 10 January 2021; accepted on 12 January 2021
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