Abstract
In children, leptospirosis is generally underdiagnosed, especially if the presentation
is without jaundice. Such cases can be confused with more common illnesses such as
dengue or scrub typhus in the tropical countries. Having a specific drug therapy for
treatment makes the early etiological diagnosis of leptospirosis much more important.
Leptospirosis may present with an atypical presentation also. Serosal surface and
gallbladder wall involvement are rare in leptospirosis. We report a 12-year-old boy
with leptospirosis, who presented with meningoencephalitis, thrombocytopenia, shock,
and ultrasonography revealed ascites, a pleural effusion, and an edematous gallbladder
wall.
Keywords
leptospirosis - ascites - pleural effusion - edematous gallbladder wall
