Fluconazole in visceral leishmaniasis.

After two peaks of epidemic of Kala Azar, one in 1977 with 100,000 cases(l) and another in 1991-92 with 250,000 cases(2), the disease continues to be endemic in North Bihar The first line drug sodium antimony shbogluconate (SAG) used in the dosage of 20 mg/kg body weight daily for 30 days(3) or 40 days(4) has become less effective and a number of patients are unresponsive to the drug(5) Oral Flucona zole has been used in Kala Azar(6,7) with limited success This communication evaluates the utility of oral Fluconazole in 20 children with Kala Azar.