Case of the Month #58 From River to Resus: A Severe Case of Leptospirosis

Published 27/11/2025

What are the complications of leptospirosis that may require ICU admission?

- Acute Kidney Injury- may require renal replacement therapy (RRT) 

- Hepatic Dysfunction- Jaundice, hepatitis, coagulopathy; liver failure is rare 

- Respiratory failure- ARDS, pulmonary haemorrhage and interstitial pneumonitis.  

- Cardiovascular instability- Hypotension, myocarditis 

-Haematology- Thrombocytopenia, disseminated intravascular coagulation (DIC)