Leptospirosis is a rare and severe bacterial infection that occurs when people are exposed to water and soil that has been contaminated by infected animal urine and usually occurs in warmer climates. Symptoms may include dry cough, fever, headache, muscle pain, nausea, vomiting, diarrhea, and shaking chills. Less common symptoms include abdominal pain, abnormal lung sounds, bone pain, conjunctivitis, enlarged lymph glands, enlarged spleen or liver, joint aches, muscle rigidity, muscle tenderness, skin rash, and sore throat. Complications can include meningitis, kidney damage, liver failure, respiratory distress and even death.

Leptospirosis. Centers for Disease Control (updated October 30, 2017),

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