Leptospirosis, An Unusual Differential of Diffuse Alveolar Haemorrhage (DAH) in a Non-Tropical ITU- A Case Report

Severe leptospirosis has got very high mortality. Leptospirosis is overlooked in the UK and the confounders for low recognition, is partly due to low rate of incidence in this region, its protean manifestations, access to appropriate diagnostic tests, a broad differential for febrile illness or the lack of clinician’s awareness. A delay in diagnosis and treatment may lead to increased disease severity and mortality. In this case report, we present a 25-year-old gentleman who had pulmonary hemorrhage as the earliest sign of severe leptospirosis without severe renal or hepatic involvement, which is a rare occurrence by itself.