Many symptoms

• Prolonged fever, persistent and irregular
  - Hepatosplenomegaly
  - Lymphadenopathy
  - Anaemia
  - Leucopaenia
  - Thrombocytopaenia
  - General weakness

• The principal signs of visceral leishmaniasis are an enlarged spleen and prolonged irregular fever. Other signs are weight loss, pallor, an enlarged liver, enlarged lymph nodes, anaemia, cough and diarrhoea.