Table 2: Table showing the positive laboratory findings in both siblings plus the normal reference laboratory values.

Case 1

WBC 1.86 × 109; Neutrophils 0.30 × 109; Lymphocytes 1.26 × 109; CRP 11.02;

Platelets 57 × 109; Hb 6.9 g/dl.

LFTs and RFTs were normal

The Rapid test for VL (rK39) was Positive.

Blood smear test for malaria was negative

Peripheral blood film: Rouleaux formation, normochromic anemia; leukopenia, reduced platelets

HIV test: Negative

Case 2

WBC 4.98 × 109; Neutrophils 1.33 × 109; Lymphocytes 2.46 × 109; CRP 6.90;

Platelets 173 × 109; Hb 6.7 g/dl.

LFTs and RFTs were normal:

The Rapid test for VL (rK39) was Positive.

Blood smear test for malaria was negative

Peripheral Blood Film: Rouleaux formation, normochromic anemia; leukopenia, adequate platelets

HIV test: Negative

Reference ranges

WBC: 3.00-15.00 × 109; Neutrophils: 1.50-7.00 × 109; Lymphocytes: 1.00-3.70

× 109 ;CRP: 0-6; Platelets: 150-450 × 109; Hb: 12-18 g/dl