<prompt> A 25-year old farmer presented with history of high grade fever for 7 days and altered sensorium for 2 days. On examination, he was comatosed and had conjunctival hemorrhage. Urgent investigations showed a hemoglobin of 11 gmdl, serum bilirubin 8 mgdl and urea 78 mgd1. Peripheral blood smear was negative for malarial parasite. What is the most likely diagnosis -BrucellosisWeils diseaseAcute viral hepatitisQ fever  <response>: Ans. is b i.e., Weils disease . High grade fever, altered sensorium, sign of hemorrhagic diathesis conjuctival hemorrhage along with raised BUN and serum bilirubin are suggestive of Weils disease. 