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Year : 2022  |  Volume : 12  |  Issue : 1  |  Page : 34-36

Weil’s disease: A diagnostic dilemma

Department of Internal Medicine, Assam Medical College and Hospital, Dibrugarh, Assam, India

Correspondence Address:
Trinayani Barua
Department of Internal Medicine, Assam Medical College and Hospital, Dibrugarh, Assam
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/ajoim.ajoim_20_21

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Leptospirosis is a zoonotic disease that predominantly occurs in tropical and subtropical areas. It is caused by the spirochete Leptospira interrogans complex and may lead to syndromes that can vary from a subclinical infection or a mild febrile infection to a severe icterohemorrhagic condition. This is a case report on a 52-year-old farmer who had presented with upper gastrointestinal (GI) bleed. He was initially thought to be a case of complications of Chronic Liver Disease. However, he was later found to have icterus, renal failure, and hemorrhagic manifestations and his IgM ELISA for leptospira was positive. It was later confirmed by MAT. He was treated with antibacterials and supportive measures and his clinical and biochemical parameters improved. The occurrence of Weil’s disease in the month of November and its occurrence in the state of Assam, India was unpredictable and hence posed as a diagnostic dilemma. It is a curable disease and hence needs timely intervention and treatment. This highlights the need for a better understanding of the natural course of this disease and improvement of public health measures.

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