Visceral leishmaniasis mimicking inflammatory myositis that led to haemophagocytic lymphohistiocytosis.

Idiopathic inflammatory myositis (IIM) is a heterogeneous group of immune-mediated diseases that mainly affect the skeletal muscles and skin. This case report narrates the story of a middle-aged man who presented with fever, weight loss, muscle weakness and skin rash and was treated elsewhere for probable dermatomyositis with steroids, methotrexate and rituximab. He presented to our facility with persistent fever and hyperpigmented skin rash.