title: Kala-Azar at high altitude.
abstract: Kala-azar or Visceral leishmaniasis (VL) is a disease of low altitude (approximately 500 meters mean sea level). In India, however cases have been reported from sub-Himalayan region (350-960 meters MSL) of Kumaon region of Uttaranchal. We present two patients of VL, natives of tribal district of Kinnnaur (2000-3000 meters MSL), Himachal Pradesh, who had never visited known endemic area for Leishmaniasis. These are probably first indigenous cases of VL being reported from an area situated at an altitude of 3000 meters and 2300 meters MSL.
authors.affiliation: Department of Medicine, Indira Gandhi Medical College, Shimla.
authors.forename: Sanjay K
authors.initials: SK
authors.lastname: Mahajan
authors.forename: Prem
authors.initials: P
authors.lastname: Machhan
authors.forename: Anil
authors.initials: A
authors.lastname: Kanga
authors.forename: Surinder
authors.initials: S
authors.lastname: Thakur
authors.forename: Ashok
authors.initials: A
authors.lastname: Sharma
authors.forename: Bhupal Singh
authors.initials: BS
authors.lastname: Prasher
authors.forename: Lal Singh
authors.initials: LS
authors.lastname: Pal
mesh_terms: D000328:Adult; D000531:Altitude; D000818:Animals; D017809:Fatal Outcome; D006801:Humans; D007194:India / Q000453:epidemiology; D007893:Leishmania donovani / Q000302:isolation & purification*; D007898:Leishmaniasis, Visceral / Q000175:diagnosis* / Q000469:parasitology; D008297:Male