Visceral leishmaniasis is a chronic infectious disease caused by a pro
tozoan parasite of the genus Leishmania, characterized by intermittent
fever, monocytosis, hepatosplenomegaly and hypergammaglobulinemia. Th
is morbid condition is rather difficult to diagnose correctly, especia
lly at its early stage, because it is rarely encountered in Japan, Rec
ently we treated a case of visceral leishmaniasis in which the patient
was misdiagnosed as malignant lymphoma, and went through splenectomy
and steroid administration, which made the diagnosis more difficult.