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Leishmania panamensis on the foot

Leishmaniasis is only seen in the United States in people that have traveled outside the U.S. There are several different types of leishmaniasis, but all are transmitted by the bite of a sandfly. The initial sore develops at the site of the bite and the infection spreads through the body (systemically) from that point. This is how the initial site of infection typically appears.

Adam

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