JOURNAL OF CLINICAL AND BIOMEDICAL SCIENCES

Abstract

Leptospirosis is prevalent worldwide and endemic in many areas of South India including Kolar district, Karantaka. It has a broad spectrum of clinical manifestations varying from inapparent Influenza like illness to fulminant fatal disease with hepatorenal dysfunction, myocarditis and pulmonary alveolar hemorrhage with respiratory distress. We report a case presented with high degree fever and puffiness of face of 8 days duration and respiratory distress of 2days duration. Examination revealed hepatosplenomegaly and signs of respiratory failure. Investigation revealed thrombocytopenia, abnormal liver function test and positive for antileptospira antibody (IgM).This patient expired 6 hours after admission. Leptospirosis is a grossly underdiagnosed disease in our country due lack of awareness, protean manifestations and inadequate diagnostic facilities in many areas, Early diagnosis and appropriate treatment can prevent fatal outcome.

Keywords: Leptospirosis, pulmonary, manifestation.