visceral le ishmaniasis (kala-azar) wi th a rare manifestati on of submental adenopathy

visceral leishmaniasis is a protozoar disease caused by l.donovani. transmission to humans (incidental host) occurs via insect bite and the phlebotomous (female sand-fly) transmits the disease. common presentations of the disease include hepatomegaly and splenomegaly, but fever, chills and night sweats may be part of the disease's symptoms. lymphadenopathy without systemic manifestations is a very rare presentation of the disease. we hereby present a 9 year old boy in whom the only presentation of visceral leishmaniasis in him was a 2x 1.5 cm submental mass without any signs or symptoms. after excisional biopsy leishmaniasis was confirmed and the patient underwent medical management that resulted in complete recovery. visceral leishmaniasis must be considered as a cause of lymphadenopathy in endemic areas.