An interesting presentation of leptospirosis

Leptospirosis is a zoonotic infection more common in south India. Most of the cases are asymptomatic but rarely patient can develop complications like renal failure, acute liver failure, pancreatitis, ARDS and bleeding diathesis. Haemorrhage has been reported in multiple sites, of which the most common is pulmonary haemorrhage. Here we report a case of 53-year-old male presenting with acute febrile illness and seizures. CT brain revealed subdural hemorrhage (SDH). He also had thrombocytopenia with elevated liver and renal parameters and elevated Lipase levels. CT abdomen revealed features of acute pancreatitis. Here we encounter a rare case of leptospirosis presenting with subdural haemorrhage and pancreatitis.