VISCERAL LEISHMANIASIS IN A RENAL-TRANSPLANT RECIPIENT - DIAGNOSTIC AND THERAPEUTIC PROBLEMS

Visceral leishmaniasis is infrequently reported in renal transplant re cipients. A 40-year-old renal transplant recipient developed hepatospl enomegaly and pyrexia of unknown origin 5 months after transplantation . Visceral leishmaniasis was confirmed on bone marrow examination, The usual dose of antiparasitic therapy with stibogluconate sodium failed to eradicate Leishmania donovani. High-dose conventional therapy with stibogluconate sodium for an extended period of time was successful i n the treatment of a relapse of leishmaniasis.