Abstract
Although leishmaniasis is widely prevalent in the eastern states of India namely Bihar, Jharkhand, Uttar Pradesh and West Bengal, diagnosing the illness is still difficult1. We present a case of 24 yr male with history of recurrent fever , progressive weakness, abdominal discomfort for 30 days. On examnation there was hepatospleenomegaly. A diagnosis of visceral leishmaniasis (kala-azar) was made based on the bone marrow aspiration cytology which show amastigotes forms of Leishmania Donovani. Routine blood investigations showed pancytopenia and a chest X-ray was normal. The patient was treated by intravenou amphotericine B and the patient became afebrile next day after injection.
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Corresponding Author
Dr Meenakshi Rana
Junior Resident, Department of Obs and Gynaecology, IGMC Shimla, India
DOI: https://dx.doi.org/10.18535/jmscr/v9i8.22
