
Overview
Parasites are deposited in the skin by the bite of a sand-fly. These parasites (leishmania) produce a local sore at the site of the bite and migrate throughout the body, causing tissue destruction at distant sites.
Review Date 8/26/2023
Updated by: Jatin M. Vyas, MD, PhD, Roy and Diana Vagelos Professor in Medicine, Columbia University Vagelos College of Physicians and Surgeons, Division of Infectious Diseases, Department of Medicine, New York, NY. Also reviewed by David C. Dugdale, MD, Medical Director, Brenda Conaway, Editorial Director, and the A.D.A.M. Editorial team.