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Visceral leishmaniasis after cardiac surgery.
  1. D Cummins,
  2. S Amin,
  3. O Halil,
  4. P L Chiodini,
  5. P E Hewitt,
  6. R Radley-Smith
  1. Department of Haematology, Harefield Hospital, Middlesex.


    An English child developed visceral leishmaniasis (kala-azar) after cardiac surgery. Neither he nor his mother had ever been out of the UK, and his disease was probably transmitted by blood transfusion. Kala-azar should be considered in patients with unexplained fever and hepatosplenomegaly, even if there is no history of foreign travel.

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