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# Visceral leishmaniasis, Kala Azar, or dum dum fever Kala azar was also called dum-dum fever, after a military station in the outskirts of Calcutta. - Symptoms are a low degree of fever with hepatosplenomegaly and severe progressive cachexia - wasting - swollen lymph glands - leucopaenia - thromb...

# Visceral leishmaniasis, Kala Azar, or dum dum fever Kala azar was also called dum-dum fever, after a military station in the outskirts of Calcutta. - Symptoms are a low degree of fever with hepatosplenomegaly and severe progressive cachexia - wasting - swollen lymph glands - leucopaenia - thrombocytopaenia - with relative monocytosis and loss of hair. The parasites *Leishmania donovani* are mainly found in bone marrow, liver and spleen. If left untreated this manifestation of leishmaniasis is fatal in more than 90% of cases. # Leishmania donovani complex causing old and new world visceral Leishmaniasis ## Old world: Africa, Asia, and Europe - _L.d.donovani_ - _L.d.infantum_ - East african and Sudanese _L.d_ ## New world: America - _L.d.chagasi_