Infantile kala azar has been reported in such Mediterranean countries as Italy, Greece, Malta and Crete, but no one has thus far reported its presence in Syria, although certain leading clinicians have suggested that possibility. Eighteen months ago I admitted to the pediatrics service of the American University Hospital S. Z., a boy, aged 7, who had been suffering for eight months from a chronic irregular febrile disease. The character of the fever curve and the laboratory exclusion of Malta fever and malaria made me suspect kala azar. The treatment consisted chiefly of antimony and potassium tar-trate intravenously. The patient made a complete recovery. Although splenic puncture was not permitted for the demonstration of Leishman-Donovan bodies, a diagnosis of kala azar was recorded.
K. N., a boy, aged 7, was admitted, January 2, 1926. The examination for malaria and the agglutination tests for typhoid and Malta fever infections
Hitti JK. INFANTILE KALA AZAR IN SYRIA. JAMA. 1926;87(16):1302. doi:10.1001/jama.1926.92680160005013g