LYMPHADENOPATHY- AN UNUSUAL CLINICAL FEATURE OF KALA-AZAR

We report a 25-year-old man presenting with fever and weight loss for the six months along with anemia, hepatosplenomegaly and axillary lymphadenopathy. Laboratory investigations showed pancytopenia. Bone marrow and splenic aspiration was inconclusive, lymph node biopsy revealed LD bodies thus confirming visceral leishmaniasis. The case high lights the need of accepting lymph nodes as a site for diagnosing kala-azar and kala-azar lymphadenopathy is not as elusive as we think. The annual estimate for the incidence and prevalence of kala-azar cases worldwide is 0.5 million and 2.5 million respectively. Surveillance data show an increasing trend in incidence since 1995.Of these, 90