Visceral leishmaniasis concealed under a diagnosis of haemophagocytic lymphohistiocytosis

bodies with haemophagocytosis. Thereafter, the patient was prescribed liposomal amphotericin B, but unfortunately, he succumbed to the illness. This case reiterates that infection is a frequent trigger of sHLH. The diagnosis of primary HLH in adults should be considered only after excluding all putative infectious causes, particularly in tropical regions.