VISCERAL LE ISHMANIASIS (KALA-AZAR) WI TH A RARE MANIFESTATI ON OF SUBMENTAL ADENOPATHY

Visceral leishmaniasis is a protozoar disease caused by L.donovani. Transmission to humans (incidental host) occurs via insect bite and the phlebotomous (female sand-fly) transmits the disease. Common presentations of the disease include hepatomegaly and splenomegaly, but fever, chills and night sweats may be part of the disease's symptoms. Lymphadenopathy without systemic manifestations is a very rare presentation of the disease. We hereby present a 9 year old boy in whom the only presentation of visceral leishmaniasis in him was a 2x 1.5 cm submental mass without any signs or symptoms. After excisional biopsy Leishmaniasis was confirmed and the patient underwent medical management that resulted in complete recovery. Visceral leishmaniasis must be considered as a cause of lymphadenopathy in endemic areas.