Visceral leishmaniasis: A case report.
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.
Department of Community Medicine [PSM], B.J. Medical College,Sassoon General Hospital, Pune, Maharashtra, India.
Sachin
S
Gawade
Mangesh
M
Nanaware
Rm
R
Gokhale
Ps
P
Adhav