Cutaneous and mucocutaneous

Parasitic Diseases, Protozoans
More Information

Animals Involved

Dogs (L peruviana), rodents, various wild mammals act as reservoir hosts; other mammals can be infected

Known Distributions

Mediterranean, Asia, Africa, Middle East, Mexico to South America, Caribbean; localized focus in USA (Texas and Oklahoma)

Probable Means of Spreading

Bite of sand flies Phlebotomus and Lutzomyia spp

Clinical Manifestations in People

Papules to ulcers or nodules on skin ± mucous membranes; single or multiple lesions; localized or disseminated; may persist or recur; atypical forms in immunosuppressed; cutaneous form rarely fatal, mucocutaneous form can be disfiguring and may be fatal if pharynx affected

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