1. Cutaneous Leishmaniasis Leishmania tropica Oriental Sore

2. Cutaneous Leishmaniasis
Found in arid regions (Mediterranean, Middle East).

3. Cutaneous Leishmaniasis
Found in arid regions (Mediterranean, Middle East).
Vector is Phlebotomus sergenti.
Lives in more barren/sandy areas
Needs moisture during mating
Will hide in cracks

4. Cutaneous Leishmaniasis
Incubation is a month or two.

5. Cutaneous Leishmaniasis
Incubation is a month or two.
Then an open sore occurs  Size of a quarter anywhere on the body.

6. Cutaneous Leishmaniasis
Incubation is a month or two.
Then an open sore occurs  Size of a quarter anywhere on the body.
Will heal up spontaneously within a year.

7. Cutaneous Leishmaniasis
Can be transmitted by touch and flies to other open wounds etc.

8. Cutaneous Leishmaniasis
Can be transmitted by touch and flies to other open wounds etc.
Penastan is drug of choice.

9. Cutaneous Leishmaniasis
Can be transmitted by touch and flies to other open wounds etc.
Penastan is drug of choice.
Can get vaccinated for in the Middle East!

10. Chiclero Ulcer Leishmania mexicana and Leishmania tropica
Yucatan Peninsula and Central America.
Sand flies in the genus Lutzomyia serve as vectors.

11. Mucocutaneous Forms
Espundia.

12. Espundia Leishmania braziliensis
Most common in Brazil
Sand flies in the genus Lutzomyia serve as vectors.

13. Espundia Leishmania braziliensis
Die because of difficulty of breathing, eating and bacterial infections.

14. Espundia Leishmania braziliensis
Die because of difficulty of breathing, eating and bacterial infections.
Can also localize in larynx loss of voice.

15. Espundia Leishmania braziliensis
Die because of difficulty of breathing, eating and bacterial infections.
Can also localize in larynx loss of voice.
Pentastam drug of choice, however most people are not treated.

16. Espundia Leishmania braziliensis
Die because of difficulty of breathing, eating and bacterial infections.
Can also localize in larynx loss of voice.
Pentastam drug of choice, however most people are not treated.
Reconstructive surgery.