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To the Editor:—
I was greatly interested to read the report of a case of kala-azar in an Italian prisoner by Colonel Sweeney, Major Friedlander and Lieutenant Colonel Queen in The Journal for August 4. The authors are to be congratulated on an excellent case study, but it seems unfortunate that the diagnosis was not made earlier and that splenectomy was necessary to make the diagnosis. This is undoubtedly due to the fact that physicians in the United States and medical officers in the armed forces are generally unfamiliar with this disease, which is not endemic in this country.Since a number of cases of kala-azar have occurred in our armed forces, and since, because the incubation period may be as long as fifteen months, some symptoms are likely to develop even after discharge to civilian life, I should like to call attention to a few points which may assist
Meleney HE. EARLY DIAGNOSIS OF KALA-AZAR. JAMA. 1945;129(2):150-151. doi:10.1001/jama.1945.02860360052026