A Young Farmer with Multi-Organ Failure: A Case Report on Weil’s Disease in Bangladesh

Abstract

Weil’s disease is a zoonotic infection caused by organism of Leptospira icterohaemorrhagiae, having a very high mortality. This article reports a case of a young male farmer who presented to a tertiary-level hospital in north-eastern Bangladesh with severe fatigue, fever, abdominal pain and yellow discoloration of the whole body. Meticulous history taking revealed that he worked bare-footed in an animal farm and had a cut injury in his right foot 15 days back. On the basis of this piece of information, serological tests for leptospirosis were done that showed positive results. There was significant clinical and biochemical improvement after treatment. This case report revealed that a patient with fever, hepatitis and, pancreatitis with a background history of suggestive exposure, leptospirosis should be considered.