In the second stage, also known as Weil disease, the infection becomes more severe, as the bacteria spread to almost all internal organs.

在第二阶段，也称作韦尔氏（Weil）病，感染随着细菌侵犯几乎所有内脏器官而加重。

During the second phase, also called Weil disease, there may be signs of end-organ damage like jaundice, a cough, dyspnea and hemoptysis, reduced urine output and fluid retention, depending on the affected organs.

在第二阶段，或者韦尔氏（Weil）病阶段，病人可能出现器官损伤的症状，比如黄疸、咳嗽、呼吸困难、咳血、尿量减少、液体潴留等，所出现的症状取决于受累的器官。