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.
Description
Keywords
Visceral Leishmaniasis, Hemophagocytic syndrome, Amphotericin B
Citation
Prasad Rajniti, Muthusami Sunil, Pandey Nisha, Tilak Vijay, Shukla Jyoti, Mishra Om Prakash. Unusual presentations of visceral leishmaniasis. Indian Journal of Pediatrics. 2009 Aug; 76(8): 843-845.