Leptospirosis is an exceptionally rare infectious disease in the Republic of Ireland. Leptospirosis can present with or mimic thrombotic microangiopathies (TTP/HUS). A 48-year-old male presented to a peripheral hospital with a short history of diarrhoea. anaemia. https://www.spidertattooz.com/Beckett-s-27-Coconut-Rum-Non-Alcoholic-Spirit-375ml/