Visceral leishmaniasis is characterized by fever, cachexia, hepatosplenomegaly, pancytopenia, and hypergammaglobulinemia.Cough may be a presenting symptom as well.However, pulmonary involvement Knives is considered rare and mainly described in immunocompromised patients.We describe a case of an immunocompetent adult whose clinical presentation was dominated by cough and hemoptysis.Bronchoscopy revealed a discreet polypoid mucosal endobronchial lesion whose biopsy yielded Leishmania amastigotes within histiocytes.
Transbronchial needle biopsy of a right paratracheal lymph node was also positive.Leishmania amastigotes were also found on bone marrow and liver biopsies.Treatment with IV Amphotericin B was successful.In conclusion, cough Urinary Tract Health should not be overlooked as a presenting symptom of visceral leishmaniasis and may be a sign of pulmonary involvement.