Kala-azar presenting as isolated cervical lymphadenopathy in an HIV-infected child

We describe the case of a 6-year-old boy presenting only with cervical lymphadenopathy as a manifestation of kala-azar without evidence of any other visceral involvement. Involvement of lymph nodes in Indian kala-azar is quite rare with only a few case reports in published literature. The boy was known to be HIV-positive for 1 year before presentation. Immunodeficiency due to HIV infection could have resulted in unusual manifestation of kala-azar.