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The dangers of living in a tent in London
  1. Richard Frederick De Butts,
  2. Anna Li,
  3. James Goodhand,
  4. Eleanor Wood
  1. Department of Gastroenterology, Homerton University Hospital, London, UK
  1. Correspondence to Dr Richard Frederick De Butts, richdebutts{at}


A middle-aged patient was admitted severely unwell with acute liver and renal failure of unknown cause. After extensive investigation the patient was found to have leptospirosis. We examine the investigations and management and discuss the disease itself.

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