title: Unusual presentations of Visceral leishmaniasis.
abstract: We report 3 cases of Visceral leishmaniasis, who presented with unusual clinical manifestations. One child was diagnosed as hemophagocytic syndrome; another masqueraded with features of leukemoid changes alongwith hemophagocytosis and trilineage myelodysplasia; the third case presented with pyothorax. All the three patients showed amastigote forms of Leishmania donovani and positive serology (rk39 antigen). They showed complete clinical, hematological and parasitological resolution with Amphotericin B therapy.
authors.affiliation: Department of Pediatrics,Institute of Medical Sciences, Banaras Hindu University, Varanasi 221005, India. rajnitip@gmail.com
authors.forename: Rajniti
authors.initials: R
authors.lastname: Prasad
authors.forename: Sunil
authors.initials: S
authors.lastname: Muthusami
authors.forename: Nisha
authors.initials: N
authors.lastname: Pandey
authors.forename: Vijay
authors.initials: V
authors.lastname: Tilak
authors.forename: Jyoti
authors.initials: J
authors.lastname: Shukla
authors.forename: Om Prakash
authors.initials: OP
authors.lastname: Mishra
mesh_terms: D000666:Amphotericin B / Q000627:therapeutic use; D000981:Antiprotozoal Agents / Q000627:therapeutic use; D002648:Child; D003937:Diagnosis, Differential; D006801:Humans; D007898:Leishmaniasis, Visceral / Q000150:complications / Q000175:diagnosis* / Q000188:drug therapy; D008297:Male
chemical_list: D000981:Antiprotozoal Agents; D000666:Amphotericin B