Visceral leishmaniasis is endemic in Pakistan, No studies of visceral
leishmaniasis in childhood have been reported from Pakistan, We prospe
ctively studied clinical and laboratory features in 58 Pakistani child
ren with visceral leishmaniasis, Mean age of the children was 2.9 year
s, Fever, pallor, and abdominal distention were the most common clinic
al manifestations, and hematologic abnormalities were the most common
laboratory findings. All children recovered after antimicrobial therap
y, Pakistani children with visceral leishmaniasis tended to be younger
than affected children from Africa and were less likely to have lymph
adenopathy.