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Year : 2017  |  Volume : 7  |  Issue : 1  |  Page : 56-58

Visceral leishmaniasis-associated hemophagocytosis: A tale of two unexpected diagnoses from a nonendemic region


1 Department of Pathology, Dr. RPGMC, Kangra, Himachal Pradesh, India
2 Department of Medicine, Dr.RPGMC, Kangra, Himachal Pradesh, India

Correspondence Address:
Rashmi Kaul Raina
C-15, Type-V Quarters, Dr. RPGMC Campus, Tanda, Kangra - 176 001, Himachal Pradesh
India
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DOI: 10.4103/2229-5070.202288

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A case of visceral leishmaniasis (VL)-associated hemophagocytic lymphohistiocytosis (HLH) in an immunocompetent native from a nonendemic area was reported. The patient belonged to Ravi river valley area (altitude 996 meters above the mean sea level) of Chamba, Himachal Pradesh, India. VL and HLH were not a differential diagnosis. Identification of the Leishman-Donovan bodies and hemophagocytosis in bone marrow aspirate and biopsy provided the diagnosis. The patient recovered to the treatment with amphotericin B.


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