DOI: 10.36347/sjmcr.2020.v08i06.011

Pages: 633-636

Leptospirosis is an under-diagnosed anthropozoonosis of global distribution. It presents clinical manifestations of variable severity ranging from a flu-like syndrome, the most common form and good prognosis, to multi-visceral involvement. Whose typical clinical form is Weil's syndrome associating fever, jaundice, renal failure and diffuse hemorrhagic signs. Pulmonary involvement is rare and can be serious and is complicated by respiratory distress syndrome and intra-alveolar hemorrhage. We report a clinical case of pulmonary leptospirosis, in a 28-year-old man, whose presentation was that of a severe pneumopathy associated with hemoptysis, with presence of jaundice. Our article reminds us that we must think of a pulmonary form of leptospirosis in front of a severe pneumopathy with hemoptysis, especially in the presence of a risk of contamination, even in the absence of liver injury. But the polymorphous presentation sometimes makes the clinical diagnosis difficult.