Acute renal failure and cold agglutinin disease due to leptospirosis

Leptospirosis is a zoonosis transmitted through the urine of infected animals. Leptospira can be associated with respiratory, renal, hepatic and hematological complications and most importantly carries a high mortality when untreated. We present a rare cause of acute renal failure, acute hepatitis, hyperbilirubinemia and cold agglutinin disease occurring simultaneously with leptospirosis.