Acute cholecystitis in the absence of any detectable stones is known as acute acalculous cholecystitis (AAC) and has been often associated with severe illness or major surgeries in patients with significant co-morbid conditions. Acute pancreatitis is commonly due to gallstone diseases. Infectious disease presenting as AAC or pancreatitis is rare. We report a case of leptospirosis presenting with AAC and acute pancreatitis as the initial manifestations.
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