Abstract
Kala Azar is a parasitic disease cause by Leishmania Donovani, transmitted by sand fly phlebotomus. Lymphadenopathy is not a common presentation in Indian Kala azar. We present an adult male from endemic zone of kalaazar presented with epitrochlear lymphadenopathy and hepato-splenomegaly and diagnosed by presence LD in lymphnode biopsy. Keyword: Kala Azar, Lymphadenopathy, Leishmania Donovani (LD) body, Bangladesh DOI: http://dx.doi.org/10.3329/jom.v12i2.8429 JOM 2011; 12(2): 188-190
Highlights
Leishmaniases are caused by 20 species of Leishmania (L) and transmitted by 30 species of sandfly
Lymphadenopathy is rare presentation in Indian kalaazar, first case reported from Bangladesh in 1986.4 We report here a patient who presented with fever, hepatosplenomegaly from endemic zone but without Leishmania Donovani (LD) body in bone marrow and splenic puncture, but was diagnosed by presence of LD body in epitrochliar lymph node biopsy
Sengupta and Chatterjee in 1961 first reported primary lymphadenopathy in Indian Kala Azar proved by biopsy
Summary
Leishmaniases are caused by 20 species of Leishmania (L) and transmitted by 30 species of sandfly. More than 10,000 people newly infected in each year.[2] Kala Azar usually presented with fever, weight loss hepatosplenomegaly and progressive leucopenia.[3] Lymphadenopathy is rare presentation in Indian kalaazar, first case reported from Bangladesh in 1986.4 We report here a patient who presented with fever, hepatosplenomegaly from endemic zone but without LD body in bone marrow and splenic puncture, but was diagnosed by presence of LD body in epitrochliar lymph node biopsy . Case report: A 45 years old man from endemic zone of Kala-Azar (Tangail) admitted in Dhaka medical college hospital with the complaints of fever, cough and weight loss for last three months.
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