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

Published 27/11/2025

Which investigations would you perform in this patient?

Suggested baseline tests: 

- Bloods: FBC, U&Es, LFTs, CRP, Amylase, Coagulation profile, Blood cultures, Non-invasive liver screen (NILS) 

- Blood gas 

- Urinalysis 

- ECG 

- Imaging: Chest X-ray, Renal and liver ultrasound 

 

 

Given the combination of fever, jaundice, AKI alongside the history of exposure to livestock and potentially contaminated water leptospirosis was suspected.