Tetralogy of fallot in Down syndrome [Trisomy 21] - an uncommon association

Down Syndrome [trisomy 21] is the common disorder among chromosomal anomalies. This is frequently associated with congenital acyanotic heart disease. Tetralogy of fallot is an uncommon event in the trisomy 21. Tetralogy of fallot presents with cyanosis usually in the later part of infancy, but cyanosis is present since birth if Tetralogy of Fallot is accompanied with Down Syndrome

Kala-azar [visceral leishmaniasis] in children

Clinical presentations of kala-azar [visceral leishmaniasis] are varied in children and adults. This may at Least initially mimic many tropical and hepatobilliary diseases. This paper is an attempt to see the clinical presentations of kala-azar in children. Eleven cases are analyzed, retrospectively admitted in a pediatric unit of a tertiary care hospital in the southern part of Bangladesh. Fever 91%, Jaundice 55%, splenomegaly 100%, hepatomegaly 91% are common findings. Presence of jaundice and ascites may mimic chronic liver disease which is suspected in 36% in this series. Awareness regarding these uncommon features will help in diagnosis