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Visceral leishmaniasis: A case report

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Author(s): Sachin Gawade | Mangesh Nanaware | RM Gokhale | PS Adhav

Journal: Australasian Medical Journal
ISSN 1836-1935

Volume: 5;
Issue: 2;
Start page: 130;
Date: 2012;
Original page

Keywords: Visceral leishmaniasis | kala-azar | amastigote | Leishmania donovani.

ABSTRACT
Although leishmaniasis is widely prevalent in the eastern states of India namely Bihar, Jharkhand, Uttar Pradesh and West Bengal, diagnosing the illness is still difficult. We present a case of a 20-year-old agricultural labourer with a history of recurrent fever, progressive weakness and abdominal discomfort associated with loss of appetite for six months followed by petechial hemorrhages over body.On examination there was hepato-splenomegaly. A diagnosis of visceral leishmaniasis (kala-azar) was made based on the bone marrow aspiration cytology and epidemiological history of the illness. Routine blood investigations showed pancytopenia and a chest X-ray was normal. The patient was treated by intravenous administration of amphotericine B, the patient responded favourably to treatment.
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