A case of leptospirosis with rare atypical presentation as paraparesis

Abstract

We report a patient presenting with paraparesis with polyneuropathy who later developed haemorrhagic manifestations and multi-organ involvement and seizures. Diagnostic work-up confirmed the diagnosis of leptospirosis. The presentation of paraparesis in combination with Weil's syndrome is rare. However, the development of haemorrhagic manifestations and seizures after initial presentation of paraparesis has not been reported previously. A high index of suspicion is necessary for initiating appropriate diagnostic work-up as it is a treatable condition.

Keywords

• Leptospirosis
• Atypical presentation
• Paraparesis
• Polyneuropathy
• Seizures