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)