Leishmaniasis or leishmaniosis is a disease caused by protozoan parasites of the genus Leishmania. It is spread by the bite of certain types of sandflies.
The disease has three forms:
- Cutaneous leishmaniasis: skin ulcers
- Mucocutaneous leishmaniasis: ulcers of the skin, mouth and nose
- Visceral leishmaniasis: starts with skin ulcers, then fever, low red blood cells, and a large spleen and liver
Leishmaniasis in humans is caused by more than 20 species of Leishmania. Risk factors include poverty, malnutrition, deforestation and urbanization. All three types can be diagnosed by identifying the parasites under a microscope. The visceral form can be diagnosed with a blood test.
Leishmaniasis can be partly prevented by sleeping under nets treated with insecticide. Another way is using insecticides to kill sandflies. Early treatment of people with the disease also helps prevent further spread. The treatment needed is determined by where the disease is acquired, the species of Leishmania and the type of infection. Medications used for the visceral form include: liposomal amphotericin B, a combination of pentavalent antimonials and paromomycin, and miltefosine. For the cutaneous form, paromomycin, fluconazole or pentamidine can help.
As of 2014, about 12 million people are infected in some 98 countries. There are about 2 million new cases each year. Each year, between 20 thousand and 50 thousand people die from the disease. About 200 million people in Asia, Africa, South and Central America and southern Europe live in areas where the disease is common. The World Health Organization has gotten discounts on some medications to treat the disease.
The parasites that cause the disease also infect other mammals: The disease has been described in dogs, cats, rodents, cattle and horses. In addition to the mammal, the parasite needs an insect that spreads the parasite through its sting.