A Woman Who Couldn't Hear

Diagnosing visceral leishmaniasis

“…Onset of disease is usually insidious, and severity escalates from an early febrile illness with pancytopenia progressing to liver dysfunction, cachexia, hypoalbuminaemia, and, if untreated, death from infection or bleeding (see box 1). 3031 When visceral leishmaniasis involves the kidneys, it can present as albuminuria, haematuria and renal impairment 3233…”