Leptospirosis is an acute bacterial septicemic febrile disease caused by
pathogenic leptospires, which affect humans and animals in all parts of the
world. Transmission can occur by direct contact with infected animals or, more
commonly, through indirect contact with water or soil contaminated with urine
from infected animals. Leptospires enter the body by penetrating mucous
membranes or skin abrasions and disseminate through the hematogenic route. In
humans, leptospirosis may cause a wide spectrum of symptoms. Most cases have a
biphasic clinical presentation, which begins with the septicemic phase followed
by immune manifestations. The severe forms of the disease may be life
threatening with multisystem damage including renal failure, hepatic
dysfunction, vascular damage, pulmonary hemorrhage and muscle lesions. In this
review, we present and discuss the pathogenesis of the human disease and the
mechanisms of cell membrane injuries, which occur mainly due to the presence of
leptospires and/or their antigen/s in the host tissues.