Abstract

A RARE CLINICAL PRESENTATION OF LEPTOSPIRAL INFECTION PRESENTING AS SHOCK

Gangula Amareswara Reddy, H. Shree Hari, R. Siddarama*, P.Gowtham M, Venkata Subbaiah, M. Purushothaman

ABSTRACT

Leptospiral infections usually present as anicteric hepatitis or when severe, may present as weil’s disease with hepato renal failure. Shock is one of the rare presentation of leptospirosis. Negative blood culture for bacterial sepsis and a positive leptospiral serology confirms the rare complication.Such a case with hepatitis developed shock. He was managed in ICU. His blood culture was found to be negative for bacterial sepsis, but he had positive leptospiral serology. The patient improved after intensive management and discharged free of complication.

Keywords: Leptospirosis, Hepato-Renal Syndrome, Weisdisease, Shock.