title: Visceral leishmaniasis masquerading as chronic liver disease.
abstract: We report a patient with fever, progressive jaundice and abdominal distension, having marked pallor, icterus, ascites and hepatosplenomegaly. Investigations revealed pancytopenia and deranged liver functions. Doppler study revealed portal hypertension and endoscopy showed grade II oesophageal varices. Liver biopsy suggested leishmanial hepatitis and bone marrow demonstrated multiple LD bodies. Diagnosis of "visceral leishmaniasis with leishmanial hepatitis with portal hypertension" was made. The case is being reported because of its rarity apart from it being an unusual presentation of kala-azar.
authors.affiliation: Department of Medicine and Pathology, Maulana Azad Medical College and Associated Lok Nayak and GB Pant Hospitals, New Delhi.
authors.forename: A
authors.initials: A
authors.lastname: Prakash
authors.forename: N P
authors.initials: NP
authors.lastname: Singh
authors.forename: G
authors.initials: G
authors.lastname: Sridhara
authors.forename: V
authors.initials: V
authors.lastname: Malhotra
authors.forename: A
authors.initials: A
authors.lastname: Makhija
authors.forename: D
authors.initials: D
authors.lastname: Garg
authors.forename: Anjali
authors.initials: A
authors.lastname: Pathania
authors.forename: S K
authors.initials: SK
authors.lastname: Agarwal
mesh_terms: D000328:Adult; D002908:Chronic Disease; D003937:Diagnosis, Differential; D006801:Humans; D006975:Hypertension, Portal / Q000175:diagnosis / Q000209:etiology*; D007565:Jaundice; D007898:Leishmaniasis, Visceral / Q000175:diagnosis*; D008107:Liver Diseases / Q000175:diagnosis / Q000209:etiology*; D008297:Male