visceral leishmaniasis presented as myelofibrosis and low grade lymphoma in a sporadic region of iran, report a rare case

we describe a case of leishmaniasis in a 55-year-old male who presented with weakness, fever and anemia. the patient was born and lived all his life in talaghan, a non-endemic region of kala-azar and there was no history of travel to endemic reigon for leishmania. in primary diagnosis, the patient suspect has been myelofibrosis and then lymphoma and underwent chemotherapy . his general condition worsened and bone marrow biopsy was performed again and leishmania promastigotes seen in the bone marrow . specific identification of the parasite was done by rapd-pcr. after two weeks of treatment, he was transferred to icu due to heart attack and after 4 days he died due to aortic valve abe.