When should I suspect that I have leptospirosis?

You should recommend that you see a doctor immediately if you present with an acute febrile illness of at least 2 days

And either residing in a flooded area or has high-risk exposure (wading in flood waters, swimming in flood water or ingestion of contaminated water with or without cuts or wounds)

And presenting with at LEAST TWO of the following:

• Myalgia (muscle pain)
• Calf tenderness
• Conjunctival suffusion (red eyes)
• Chills
• Abdominal pain
• Headache
• Jaundice (yellowish discoloration of skin and eyes)
• Oliguria (decreasing amount of urine)