Overview
It's common after flooding and in people who swim in or work around fresh water.
Calf muscle pain and red eyes are classic signs.
Symptoms
Common signs:
- Fever and muscle aches
- Body aches
Less common
- Red eyes
- Yellow skin
- Less urine
When to get medical care
Causes
Leptospira bacteria.
Does it spread or run in families?
- It usually doesn't spread from person to person.
- People get it from: water or animal urine.
Who is more likely to get it
- Floods
- Farm work
Diagnosis
A clinician asks about your symptoms and may order tests.
The exam
A physical exam.
Tests
Tests, if needed:
- Blood tests:
Treatment
Treatment depends on the cause and how severe it is.
Self-care
- Rest and fluids
- Take antibiotics
Medicines
Medicines that may help:
| Medicine | Helps with | Good to know |
|---|---|---|
| Antibiotics | Infection |
OwieClear doesn't give doses: follow the label or your healthcare professional. Medicine names here are examples, not a full list.
Prevention
To lower your risk or catch problems early:
- Avoid wading in floodwater
- Cover cuts
Which doctor treats this
- Start with your primary care provider (family doctor or internist).
- They may send you to an infectious disease specialist, for hard-to-treat infections.
Pregnancy and breastfeeding
- If you're pregnant or planning to be, tell your prenatal provider about this condition.
- Some infections can pass to the baby during pregnancy or birth. Tell your provider if you've been exposed.
- Don't start or stop any medicine on your own. Some are safe in pregnancy and some need to be changed.
- Ask before taking any pain reliever. The FDA advises avoiding ibuprofen and naproxen after 20 weeks unless your doctor says to.
- Breastfeeding: Most medicines are fine, but ask. The NIH LactMed database lists what's known about each one.
Outlook
Most recover with treatment.
Getting ready for your visit
Bring a list of your symptoms and medicines.
What to bring
- A list of your medicines and supplements
- Notes on when symptoms started and what makes them better or worse
Questions to ask
- What's causing this?
- What treatment do you recommend?
Research studies
Research studies test new ways to find and treat health problems. Some are looking for volunteers. Talk with your doctor before joining one.
Sources
Last updated 2026-11-12.