bloody diarrhea: a rare chief complain of leptospirosis

Objective: leptospirosis is one of the most common zoonosis diseases that presents by involvement of different systems. this infectious disease ranges from mild to very severe but bloody diarrhea is not a known clinical primary manifestation of the illness. case presentation: we describe a patient with leptospirosis who was admitted because of bloody diarrhea in the beginning. the patient admitted as a probable shigellosis case. diagnosis of leptospirosis was confirmed based on result of leptospira microscopic agglutination test (mat). after 7 days treatment he made a complete recovery and was discharged. conclusion: although leptospirosis with presentation of bloody diarrhea is an unusual report. leptospirosis should be considered in all febrile patients particularly in farmers endemic area.