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Leptospirosis( Weil's disesase) is a zoonotic condition which occurs due to the entry of spirochetes called leptospira. Transmission occurs by direct contact with the body fluid of an acutely infected animal or by exposure to soil or fresh water contaminated with the urine of an animal that is a chronic carrier. The prognosis for patients with mild infection is very good. More severe have a much poorer outcome. Extremes of age can result in more significant disease. The relatively poor resilience of elderly people produces a high mortality from Weil disease. Leptospirosis can be misdiagnosed as enteric fever, encephalitis or HIV infection. Government officials, public health workers, and health care workers should educate all populations at risk about proper preventative measures. Patients with severe disease need to remain in a hospitalized setting until adequate resolution of organ failure and clinical infection occurs.
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