Deeply jaundiced: Not so surgical after all

Leptospirosis is an under-recognised disease in sub-Saharan Africa and the diagnosis requires a high index of suspicion. This case report highlights the protean manifestations of leptospirosis. Leptospirosis should be considered in any patient presenting with fever and jaundice, especially when there has been a history of occupational or recreational exposure to water, soil or rodents. This case report describes a typical case of leptospirosis, which often presents as a diagnostic dilemma.