Leishmaniasis is a tropical infection caused by the protozoan, belonging to the 
group of Leishmania which causes Old World and New World disease. These are 
typically divided into cutaneous, mucocutaneous, visceral, viscerotropic, and 
disseminated disease. Cutaneous leishmaniasis in the presence of visceral 
disease is a rarity. Isolated case reports have documented this occurrence, in 
the immunocompromised setting, and few otherwise. The concurrent presence of 
visceral leishmaniasis (bone marrow involvement) with solitary cutaneous and 
ocular disease and also solitary cutaneous and visceral disease (bone marrow 
involvement) has been reported before. Here, we present an immunocompetent 
patient who was diagnosed to have visceral leishmaniasis (liver and bone marrow 
involvement) along with simultaneous disseminated mucocutaneous and ocular 
involvement, a combination that has never been reported before.