<b>Visceral Leishmaniasis (Kala-azar)</b><br>yy Chronic disease characterized by fever, hepatosplenomegaly, lymphadenopathy, anaemia, leucopenia, progressive emaciation and weakness yy Fever of gradual onset, irregular, with 2 daily peaks and alternating periods of apyrexia yy The disease progresses over several months and is fatal if not treated yy After recovery from Kala-azar, skin (cutaneous) leishmaniasis may develop}<b>Cutaneous and Mucosal Leishmaniasis (Oriental sore)</b><br>yy Starts as papule, enlarges to become an indolent ulcer yy Secondary bacterial infection is common