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Visceral leishmaniasis masquerading as chronic liver disease. 2006
A Prakash, and
N P Singh, and
G Sridhara, and
V Malhotra, and
A Makhija, and
D Garg, and
Anjali Pathania, and
S K Agarwal
Department of Medicine and Pathology, Maulana Azad Medical College and Associated Lok Nayak and GB Pant Hospitals, New Delhi.
We report a patient with fever, progressive jaundice and abdominal distension, having marked pallor, icterus, ascites and hepatosplenomegaly. Investigations revealed pancytopenia and deranged liver functions. Doppler study revealed portal hypertension and endoscopy showed grade II oesophageal varices. Liver biopsy suggested leishmanial hepatitis and bone marrow demonstrated multiple LD bodies. Diagnosis of "visceral leishmaniasis with leishmanial hepatitis with portal hypertension" was made. The case is being reported because of its rarity apart from it being an unusual presentation of kala-azar.
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