Case Report

Deeply jaundiced: Not so surgical after all

Wesley P. Du Plessis, Sa’ad Lahri, Keethal Somers, Tamsin Lovelock
Southern African Journal of Infectious Diseases | Vol 38, No 1 | a559 | DOI: https://doi.org/10.4102/sajid.v38i1.559 | © 2023 Wesley Paul du Plessis, Sa'ad Lahri, Keethal Somers, Tamsin Lovelock | This work is licensed under CC Attribution 4.0
Submitted: 24 July 2023 | Published: 20 November 2023

About the author(s)

Wesley P. Du Plessis, Division of General Internal Medicine, Faculty of Medicine and Health Sciences, Tygerberg Hospital, Stellenbosch University, Cape Town, South Africa
Sa’ad Lahri, Division of Emergency Medicine, Faculty of Medicine and Health Sciences, Tygerberg Hospital, Stellenbosch University, Cape Town, South Africa
Keethal Somers, Division of General Internal Medicine, Faculty of Medicine and Health Sciences, Tygerberg Hospital, Stellenbosch University, Cape Town, South Africa
Tamsin Lovelock, Division of Infectious Diseases, Faculty of Medicine and Health Sciences, Tygerberg Hospital, Stellenbosch University, Cape Town, South Africa

Abstract

Leptospirosis is an under-recognised disease in sub-Saharan Africa and the diagnosis requires a high index of suspicion. This case report highlights the protean manifestations of leptospirosis. Leptospirosis should be considered in any patient presenting with fever and jaundice, especially when there has been a history of occupational or recreational exposure to water, soil or rodents.

Contribution: This case report describes a typical case of leptospirosis, which often presents as a diagnostic dilemma.


Keywords

leptospirosis; severe leptospirosis; jaundice; travel; South Africa

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