Nephrotic syndrome in a patient with visceral leishmaniasis: a case report

Visceral leishmaniasisis caused by the intramacropahage protozoa Leishmania. Since the first locally acquired case in 2007 a limited number of cases of visceral leishmaniasis have been diagnosed in comparison to the large number of cutaneous leishmaniasis cases in Sri Lanka [1]. Following an incubation period of 2-6 months patients have an insidious onset of clinical features with fever, weight loss, anaemia, organomegaly (hepatosplenomegaly) and oedema with renal involvement. It is newly identified as an AIDS related opportunistic infection. Common differential diagnosis of fever with nephrotic syndrome include systemic lupus erythematosis, lymphoma, leukaemia, renal, colonic or lung carcinoma, tuberculosis, syphilis, HIV and hepatitis B and C.