Visceral leishmaniasis (kala-azar) is a disseminated protozoal infection that occurs in areas of the world other than North America. In endemic regions, kala-azar is also an opportunistic infection associated with the acquired immunodeficiency syndrome. We report a case of acquired immunodeficiency syndrome—associated kala-azar acquired abroad that was first expressed in New York City. Human immunodeficiency virus—infected patients who have lived or traveled abroad may present in this country with unusual infections.
Arch Intern Med. 1997;157:921-923