DOI: 10.36347/sjmcr.2016.v04i05.025

Pages: 363-365

We report a case of leptospirosis and typhoid co-infections in a 20 year-old man presenting with intestinal perforation, acute acalculous cholecystitis, pancreatitis and acute hepatorenal failure. Sequential laparotomies during the same admission were done for multiple intestinal perforation and gall bladder gangrene and perforation. We intent to highlight the overlapping of symptoms, signs and laboratory investigations of both typhoid and leptospirosis with their rare complication, but clinically significant presentation of both typhoid and Leptospirosis -gallbladder perforation due to acalculous cholecystitis. In spite of grave morbidity patient condition improved and he survived due to appropriate supportive care and intervention. Patient was discharged on the 15th post operative day.