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Hepatosplenic gamma delta T-cell lymphoma (HSTCL) is a rare peripheral T-cell lymphoma of cytotoxic T-cell origin with an aggressive clinical course.   It is characterized by hepatosplenomegaly without significant lymphadenopathy, with clinically significant cytopenias. Chronic immunosuppression has been proposed as a possible pathogenetic mechanism in HSTCL. No association of HSTCL with visceral leishmaniasis has been described in the past.  We describe a case of an adolescent male patient with HSTCL with leukemic presentation, who was diagnosed to have visceral leishmaniasis, nine months prior to presentation at our centre.