European Journal of Biomedical and Pharmaceutical Sciences

A CASE OF SEVERE LEPTOSPIROSIS PRESENTING AS WEIL’S DISEASE

Dr. Rajasekhar Putta M.D., Dr. Pavan Kumar Bhanavath and Dr. Prathap Bingi*

ABSTRACT

A 22 years old male a sewage worker from kerala, presented with chief complaints of High grade fever from 6 days, Cough with SOB & hemoptysis from 4 days. No Rash over body. H/O similar complaints present 2 weeks ago. On examination he is Febrile, Jaundice present, B.P: 94/70 mm Hg.SpO2 at room air is 90% & with 5Ltrs of O2 Spo2 is 96%. No organomegaly found clinically. Bilateral crepitations present. Investigations revealed leucocytosis with Thrombocytopenia, Peripheral smear showed Normocytic Normochromic anemia with thrombocytopenia with no malarial parasites, Hyperbilirubinemia, Elevated renal paramaters. USG abdomen showing hepatomegaly. HRCT chest suggestive of Interlobular septal thickening suggestive of infective etiology. 2DECHO is Normal. Evaluation of leptospirosis by Modified Faine’s criteria supported and Serum Leptospiral antibodies by EIA showed positive for IgM & IgG. Weil felix is Non-reactive. He was diagnosed as Weil’s disease & treated with antibiotics. He responded and improved.

Keywords: Severe Leptospirosis, Weil’s disease, Modified Faine’s Criteria.