Non-compaction cardiomyopathy (NCCM) or spongy myocardium is a rare type of congenital cardiomyopathy. Visceral leishmaniasis is a protozoal disease caused by Leishmania donovani and transmitted by the bite of female sand-fly species of Phlebotomus argentipes, which is common in tropical area like Sudan. We report a six-year-old female, who had NCCM, and presented with fever of unknown origin, weight loss, anemia that necessitate multiple blood transfusions, and had hepatosplenomegaly. The current case narrates an unusual combination of diseases with therapeutic challenges in a resource- limited setting.
Key words: Non-compaction cardiomyopathy, Leishmaniasis; challenges of therapy
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