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Visceral leishmaniasis (Kala-Azar) has been reported with increasing frequency in the United States during the past two years. Search of the literature reveals the appearance of some thirty odd exogenous cases from various sources (1, 2, 3, 4, 5). Doubtless still other cases have been diagnosed and are as yet unpublished. Previous papers have adequately discussed the etiology, epidemiology, pathology, clinical and laboratory findings, and treatment of this disease (1, 2, 6, 7, 8). This report presents a case exhibiting the longest recorded interval between presumptive cure and relapse, two years having passed since "cure" was established and the first appearance of symptoms suggesting recurrence of activity.
REPORT OF CASE R. G., a 32 year old white male, was admitted to the Veterans Administration Hospital, Washington, D. C., on November 2, 1947, complaining of intermittent fever of about four months duration with recent onset of general malaise and chills accompanying the fever.
1 From the Medical Service, Veterans Administration Hospital, Washington, D. C. This paper is published with the permission of the Chief Medical Director, Department of Medicine and Surgery, Veterans Administration, who assumes no responsibility for the opinions expressed or conclusions drawn by us.
2 Clinical Instructor in Medicine, George Washington University School of Medicine; Attending Physician in Internal Medicine, Veterans Administration Hospital, Washington, D. C.
3 Formerly Resident Physician, Veterans Administration Hospital, Washington, D. C.
4 Bacteriologist, Arthritis Research Unit, Veterans Administration Hospital, Washington, D. C.
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