Introductionsince march 11, 2020 world health organization (WHO) reported a worldwide pandemic occurring by Severe Acute Respiratory Syndrome Coronavirus-2 (SARS-CoV-2) (1, 2). COVID-19 infections symptoms includes a variation of fever, cough, dyspnea, headache, myalgia and abdominal pain (3).Since then, there were reports of coinfections or misdiagnoses of covid-19 with other infections which have the same clinical or paraclinical symptoms (4, 5). Leptospirosis is a common infection in Southeast Asia and is one of those infections which can have the same symptoms as COVID-19 including cough and myalgia (6). In this study we are reporting a case that was not surely a severe pulmonary leptospirosis or covid-19.