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Malays J Pathol. 1995 Jun;17(1):39-41.

A case of kala-azar diagnosed by bone marrow aspiration.

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Haematology Unit, Faculty of Medicine, Universiti Kebangsaan Malaysia, Kuala Lumpur.


A 35-year-old man from Bangladesh, who had been in Malaysia for approximately a year, was extensively investigated for more than two months in a state hospital for pyrexia with hepatosplenomegaly. However, no obvious cause of his illness was found. He was treated with multiple antibiotics with no resolution of pyrexia and hepatosplenomegaly. He was later referred to the Haematology Unit, Universiti Kebangsaan Malaysia for further assessment as a case of lymphoma. On carefully reviewing his bone marrow aspirate smears, the diagnosis of leishmaniasis (kala-azar) was finally made. The patient responded to treatment with pentamidine.

[Indexed for MEDLINE]

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