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Weil's disease (term used if more severe - usually with jaundice) - note if hepatorenal failure
commonly seen in sewage workers, farmers, vets or people who work in abattoir
caused by spirochaete Leptospira interrogans (serogroup L icterohaemorrhagiae)
classically spread by infected rat urine

''Features'' (4f's 2h's)
fever
flu-like symptoms
renal failure (seen in 50% of patients)
jaundice
subconjunctival haemorrhage
headache, may herald the onset of meningitis

''Management''
high-dose benzylpenicillin or doxycycline