Cardiogenic Shock with Severe Myocardial Injury: A Rare Presentation of Leptospirosis

Leptospirosis is a common zoonotic disease of the tropics, caused by pathogenic spirochetes of the genus Leptospira. Though infection tends to be mild and self limiting in most cases, it is known to cause life threatening complications such as acute kidney injury, pulmonary haemorrhages and acute respiratory distress syndrome, myocarditis and rhabdomyolysis. Severe myocarditis leading to cardiogenic shock with circulatory collapse in leptospirosis is a rare clinical entity. Here we describe a young healthy male, who presented with extensive myocardial injury with cardiogenic shock, and made an uneventful recovery with timely intervention and care.