Fever & Jaundice After a Swim

An 18-year-old man develops fever, Jaundice, and acute kidney injury after falling into a canal. Explore the diagnosis for this classic presentation.

Leptospirosis


An 18-year-old man presented with a 2-day history of fever, vomiting, and diarrhea. Three weeks before presentation, he had fallen into a canal. Physical exam was notable for the findings shown in the image. Laboratory studies showed acute kidney injury and elevations in aminotransferase and total bilirubin levels. What is the most likely diagnosis?

What is the most likely diagnosis?

Acute hemorrhagic conjunctivitis
Ebola hemorrhagic fever
Giardiasis
Leptospirosis
Subarachnoid hemorrhage

Acute Kidney Injury, Jaundice, Leptospirosis, Weil’s Disease, Zoonosis

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