title: Visceral leishmaniasis with Roth spots.
abstract: Visceral leishmaniasis (VL) is caused by the protozoan parasite Leishmania donovani and transmitted by the bite of infected sandfly Phlebotomus argentipes. The protozoa is obliged intracellularly and causes a wide spectrum of clinical syndromes: VL ('kala azar'), cutaneous leishmaniasis and mucocutaneous leishmaniasis (espundia). Kala azar is the most aggressive form and if untreated causes high mortality. Here, we describe a case of VL that presented to us with high-grade fever and found to have Roth spots that were resolved after 15 days of therapy.
authors.affiliation: Department of Pediatrics , Maulana Azad Medical College and attached Lok Nayak Hospital , New Delhi , India.
authors.forename: Jagdish
authors.initials: J
authors.lastname: Meena
authors.affiliation: Department of Pediatrics , Maulana Azad Medical College and attached Lok Nayak Hospital , New Delhi , India.
authors.forename: Monica
authors.initials: M
authors.lastname: Juneja
authors.affiliation: Department of Pediatrics , Maulana Azad Medical College and attached Lok Nayak Hospital , New Delhi , India.
authors.forename: Devendra
authors.initials: D
authors.lastname: Mishra
authors.affiliation: Department of Pediatrics , Maulana Azad Medical College and attached Lok Nayak Hospital , New Delhi , India.
authors.forename: Pallavi
authors.initials: P
authors.lastname: Vats
authors.affiliation: Department of Pediatrics , Maulana Azad Medical College and attached Lok Nayak Hospital , New Delhi , India.
authors.forename: Arti
authors.initials: A
authors.lastname: Pawaria