PT - JOURNAL ARTICLE AU - Sam M O’Toole AU - Neha Pathak AU - Graham C Toms AU - Susan V Gelding AU - Venkat Sivaprakasam TI - Fever, jaundice and acute renal failure AID - 10.7861/clinmedicine.15-1-58 DP - 2015 Feb 01 TA - Clinical Medicine PG - 58--60 VI - 15 IP - 1 4099 - http://www.rcpjournals.org/content/15/1/58.short 4100 - http://www.rcpjournals.org/content/15/1/58.full SO - Clin Med2015 Feb 01; 15 AB - Leptospirosis is an uncommon infectious disease that has protean clinical manifestations ranging from an innocuous ‘flu-like’ illness to potentially life-threatening multi-organ failure. Here we describe a case of Weil's disease that presented on the acute medical take with fever, jaundice and acute renal failure. We highlight the importance of careful history taking at the time of admission and how understanding the epidemiology and pathophysiology of leptospirosis enables a definitive diagnosis to be reached.