A rare case of Weil’s disease in pregnancy

Abstract

Weil's disease in pregnancy is an uncommon entity. It is a severe form of leptospirosis with the presence of jaundice and renal damage. Leptospirosis is a major zoonotic disease and human infection results from accidental contact with the environment contaminated with the urine of the carrier. The infection ranges from a mild flu like illness to a serious, sometimes fatal disease. Infection in pregnancy may be grave leading to maternal and fetal morbidity and mortality unless treated early. Moreover in pregnancy, the presentation may mimic other viral, bacterial and parasitic infections, Acute Fatty Liver in Pregnancy (AFLP), Pregnancy Induced Hypertension (PIH) and HELLP (Hemolysis, Elevated Liver Enzymes, Low Platelet) syndrome and owing to this unusual presentation, leptospirosis is often misdiagnosed and underreported.