Abstract
Over a period of four months seven cases of Visceral Leishmaniasis were identifies for the first time in our Hospital in Saudi Nationals in Al-Medina Health Region. The presentation was fever, anaemia, splenomegaly and general ill health. The laboratory data showed evidence of anaemia and thrombocytopenia in all the seven cases but leucopenia in only 2 cases. The diagnosis was confirmed by positive bone marrow aspirate for L - D bodies is 5 cases and Leishmania Anaemia, Titre of more than 1:64 in all the seven cases. Six of the cases responded well to Sodium Stibogluconate at a dose, of 20 mg. 1 kg body weight/day for 20 days intramuscularly. Epidemiological survey isolated the specific vectors and fly (Phlebotamine sand fly) from the city of Al-MedinaAl Manuara as well as the surrounding villages where the patients came from. Since the preparation of this report, more cases of Visceral Leishmaniasis have been diagnosed in our hospital. We think that the Medina Region is endemic for this disease.