Visceral Leishmaniasis Presented as Myelofibrosis and Low grade lymphoma in a Sporadic Region of Iran, Report a Rare Case

Abstract

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.