Hemophagocytic lymphohistiocytosis associated with visceral leishmaniasis in a patient with cirrhosis of HCV: diagnostic challenge

Leishmania infection associated hemophagocytic syndrome is very rare. Moreover, visceral leishmaniasis related hemophagocytic lymphohistiocytosis in a patient with liver cirrhosis will be very difficult to recognize because of the overlapping clinical features and negative marrow evaluation at onset