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Background: Leptospirosis is a zoonosis that is globally being recorded as an epidemic threat in developing countries. The spectrum of disease ranges from sub clinical infection to a severe syndrome of multiorgan dysfunction. We conducted this study with an aim to estimate the prevalence of Leptospirosisin cases of undifferentiated febrile illness. Material and Methods: All patients presenting with undifferentiated fever of >38 o C of less than two weeks duration and who lacked localization or organ-specific clinical features were included in the study. IgM antibodies against leptospira antigen were detected by Elisa. Results: The prevalence of Leptospirosis among the cases was estimated to be 6.4% [CI : 5.1-7.8].The highest prevalence of Leptospirosis was found in the age group of 20-39 years (9.4%) followed by age group 40-59 years (4.5%). Leptospirosis was found to be more prevalent among females (7.5%) than males (5.6%) and those living in rural areas (6.4%).The age of the cases ranged from 6 years to 65 years. Male:Female ratio was found to be 1.6:1. Most common presenting complaints were headache (77.3%), fatigue (32.84%), vomiting (31.97%), arthralgia (29.06%), severe myalgia (26.16%), cough (15.11%), nausea (14.53%), hypertension (4.65%), diarrhea (4.36%), and skin necrosis (3.19%). Age group >60 years (4.3%) and age group 0-19 years (2.7%). Conclusion: Our analysis suggest that the prevalence of Leptospirosis in our study is far less than compared to other states of India.

Prevalence of Leptospirosis among Cases of Undifferentiated Febrile Illness reported to a Tertiary Care Teaching Hospital of Kashmir Valley