dear editor-in-chief a 28 yr male was presented in october 2015 at medicine outpatient department, safdarjung hospital, new delhi- india with generalized weakness, fever and cough for preceding 15 days. clinicoradiologic examination revealed pallor, firm, non-tender splenomegaly measuring 13.7 cm and hepatomegaly (liver span - 16.9 cm). however, no lymphadenopathy was found.