{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T15:12:21Z","timestamp":1777907541266,"version":"3.51.4"},"reference-count":4,"publisher":"SAGE Publications","issue":"1","license":[{"start":{"date-parts":[[2025,9,12]],"date-time":"2025-09-12T00:00:00Z","timestamp":1757635200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Trop Doct"],"published-print":{"date-parts":[[2026,1]]},"abstract":"<jats:p>Leptospirosis is a common zoonotic disease with a 10-fold higher incidence in tropical regions compared to temperate zones. The disease is endemic to the Indian subcontinent, particularly prevalent in the southern states. It has a wide spectrum of presentations, most commonly high-grade fever, myalgia, conjunctivitis, haematuria, jaundice, abdominal pain, and vomiting. Severe infection manifests as multisystemic vasculitis and Weil's disease. Here we describe an atypical presentation which posed a diagnostic dilemma. Considering the age of the patient and the presenting symptoms, colonic malignancy with hepatic metastasis was suspected, and further investigations were conducted, which indeed revealed a colonic growth in the descending colon, consistent with the clinical suspicion. However, the colonic growth was found to be an inflammatory mass caused by leptospiral infection, confirmed by various investigation modalities and response to antibiotic therapy. Few publications have reported cases of leptospirosis presenting with episodes of bleeding per rectum with colonic growth.<\/jats:p>","DOI":"10.1177\/00494755251378579","type":"journal-article","created":{"date-parts":[[2025,9,13]],"date-time":"2025-09-13T05:25:27Z","timestamp":1757741127000},"page":"172-174","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":1,"title":["Leptospirosis presenting with colonic growth"],"prefix":"10.1177","volume":"56","author":[{"ORCID":"https:\/\/orcid.org\/0009-0009-7301-129X","authenticated-orcid":false,"given":"Abirami","family":"Kailasam","sequence":"first","affiliation":[{"name":"Sri Ramachandra Medical College and Research Institute"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Amruta Varshini V","family":"Ramakrishnan","sequence":"additional","affiliation":[{"name":"Sri Ramachandra Medical College and Research Institute"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Narayanan D","family":"Cunnigaiper","sequence":"additional","affiliation":[{"name":"Sri Ramachandra Medical College and Research Institute"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2025,9,12]]},"reference":[{"key":"e_1_3_3_2_2","doi-asserted-by":"publisher","DOI":"10.3748\/wjg.v10.i16.2455"},{"key":"e_1_3_3_3_2","first-page":"003783","article-title":"Leptospirosis and liver abscess: an unusual association","volume":"10","author":"Ribeirinho-Soares P","year":"2023","unstructured":"Ribeirinho-Soares P, Souto M, Almeida J. Leptospirosis and liver abscess: an unusual association. Eur J Case Rep Intern Med 2023; 10: 003783.","journal-title":"Eur J Case Rep Intern Med"},{"key":"e_1_3_3_4_2","first-page":"290","article-title":"Leptospirosis in India: a systematic review and meta-analysis of clinical profile, treatment and outcomes","volume":"31","author":"Gupta N","year":"2023","unstructured":"Gupta N, Wilson W, Ravindra P. Leptospirosis in India: a systematic review and meta-analysis of clinical profile, treatment and outcomes. Infez Med 2023; 31: 290\u2013305.","journal-title":"Infez Med"},{"key":"e_1_3_3_5_2","doi-asserted-by":"publisher","DOI":"10.3389\/fsurg.2023.1131659"}],"container-title":["Tropical Doctor"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/00494755251378579","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/00494755251378579","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/00494755251378579","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T13:37:36Z","timestamp":1777642656000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/00494755251378579"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,9,12]]},"references-count":4,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2026,1]]}},"alternative-id":["10.1177\/00494755251378579"],"URL":"https:\/\/doi.org\/10.1177\/00494755251378579","relation":{},"ISSN":["0049-4755","1758-1133"],"issn-type":[{"value":"0049-4755","type":"print"},{"value":"1758-1133","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,9,12]]}}}