Severe leptospirosis complicated with atrial fibrillation

Cardiac rhythm abnormality is a common finding in patients with leptospirosis. Relative bradycardia, atrial fibrillation, flutter and ventricular premature beats are the arrhythmias seen In present case, patient presented septic shock had fibrillation. Further evaluation revealed hypokalemic acute kidney injury severe metabolic acidosis. The fibrillation reverted to sinus after correction of hypokalemia, acidosis, medical cardioversion. This case that early detection abnormalities other forms cardiac involvement precipitating factors important preventing fatal outcomes