HEMOPHAGOCYTIC LYMPHOHISTIOCYTOSIS ASSOCIATED WITH VISCERAL LEISHMANIASIS IN EARLY CHILDHOOD

ABSTRACT
We describe a case of hemophagocytic lymphohistiocytosis which is related to visceral leishmaniasis in early
childhood. As the condition is quite rare in early childhood and secondly there is close resemblance of the clinical features
with visceral leishmaniasis the diagnosis of hemophagocytic lymphohistiocytosis is challenging in this age group.
In our case, detection of the Leishmania donovani in the bone marrow and response to antimoniate therapy initially
and followed by resistance to visceral leishmaniasis therapy and fulfillment of hemophagocytic lymphohistiocytosis
criteria confirmed the diagnosis.
Key Words: Visceral leishmaniasis, hemophgocytic lymphohistioctosis.