“…Leptospirosis, a zoonosis, is caused by several pathogenic species of Leptospira for which mammalian hosts, primarily rodents, act as a reservoir, and humans get infected accidentally through their skin, wounds, and damaged mucosa exposed to the water contaminated with the urine of these animals. − Despite being a neglected disease, leptospirosis is a reemerging public health problem, with a worldwide burden of 500,000 per year and a fatality rate of 25%. , Urban slums are experiencing an influx of residents, and climate change in tropical and subtropical countries is leading to more frequent heavy rainfall and floods. Consequently, water contaminated with Leptospira has become widespread, and human exposure to the pathogen has increased the incidence of leptospirosis. , Although many patients recover from this disease with a mild febrile illness, it can cause severe damage to vital organs, including hemorrhagic manifestations, leading to multiorgan failure and death. , Furthermore, symptoms of leptospirosis are similar to the common febrile illnesses, leading to delays in diagnosis and medical management . There are many gaps in understanding the pathophysiology of leptospirosis and the host immunity, which hinders taking necessary steps to combat the disease in terms of developing a potential vaccine, precise diagnostic tools, and potential biomarkers to predict disease severity …”