Annals of Tropical Medicine and Public Health
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Year : 2009  |  Volume : 2  |  Issue : 2  |  Page : 57-60

Kala Azar without splenomegaly

Department of Medicine, St Stephen's Hospital, Tis hazari, Delhi, India

Correspondence Address:
Sameer Gulati
Departments of Medicine and Pathology, St Stephen’s Hospital, Tis hazari, Delhi
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Source of Support: None, Conflict of Interest: None

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Leishmaniasis is a major public health problem in Bangladesh, North East India, Nepal, Sudan and North East Brazil. To add to the challenge, there has been emergence of leishmaniasis in new geographic areas and host populations. Visceral infection can remain subclinical or become symptomatic with an acute, subacute or chronic course. Atypical presentations can be equally challenging to the clinician. We present an atypical presentation of kala azar with lymphadenopathy and evidence of auto immune hemolytic anemia. Absence of splenomegaly was the most striking aspect in our patient. Also, lymphadenopathy is commonly seen in Sudan rather than in India.

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