Visceral leishmaniasis masquerading as chronic liver disease.

We report a patient with fever, progressive jaundice and abdominal distension, having marked pallor, icterus, ascites and hepatosplenomegaly. Investigations revealed pancytopenia and deranged liver functions. Doppler study revealed portal hypertension and endoscopy showed grade II oesophageal varices. Liver biopsy suggested leishmanial hepatitis and bone marrow demonstrated multiple LD bodies. Diagnosis of "visceral leishmaniasis with leishmanial hepatitis with portal hypertension" was made. The case is being reported because of its rarity apart from it being an unusual presentation of kala-azar.

Tuberculous epidural abscess - an unusual presentation.

A 23 year old female presented clinically as a case of transverse myelitis. However, MRI suggested an epidural abscess extending from T7 vertebral level to L 1 vertebral level. Histopathological analysis revealed the abscess to be tuberculous in nature. Patient responded to surgical decompression and anti-tuberculous therapy.