A case of leptospirosis with rare atypical presentation as paraparesis

We report a patient presenting with paraparesis with polyneuropathy who later developed haemorrhagic manifestations and multi-organ involvement and seizures. Diagnostic work-up confirmed the diagnosis of leptospi- rosis. The presentation of paraparesis in combination with Weil’s syndrome is rare. However, the development of haemorrhagic manifestations and seizures after initial presentation of paraparesis has not been reported previously. A high index of suspicion is necessary for initiating appropriate diagnostic work-up as it is a treatable condition.