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Postpartum Lady with Bleed in the Brain: A Rare Manifestation of Neuroleptospirosis with Acute Haemorrhagic Leucoencephalitis (AHLE)

Juita H, Hilwati H, Premela NS, Shanthi R

Acute Haemorrhagic Leucoencephalitis (AHLE) is a rare disorder which was first described by Weston Hurst in 1941. It has been acknowledged as severe form of acute disseminated encephalomyelitis, characterized by acute onset and rapid progression of inflammation of the brain with associated necrosis and haemorrhage. We report an unusual case of a patient in postpartum period presenting with micro bleeds in the brain with cerebral oedema and acute haemorrhagic leucoencephalitis associated with leptospirosis.