RT Book, Section A1 Langston, Shannon M. A1 Bales, Brian D. A2 Knoop, Kevin J. A2 Stack, Lawrence B. A2 Storrow, Alan B. A2 Thurman, R. Jason SR Print(0) ID 1181051362 T1 Leishmaniasis T2 The Atlas of Emergency Medicine, 5e YR 2021 FD 2021 PB McGraw-Hill PP New York, NY SN 9781260134940 LK accessemergencymedicine.mhmedical.com/content.aspx?aid=1181051362 RD 2024/04/18 AB Leishmaniasis is a protozoan, zoonotic parasite spread by sand fly bites. It is endemic in over 80 countries and has an incubation period of 2 to 6 months, although it may range from days to years, with relapse possible. Infection occurs when flagellated forms of more than 20 infective species of Leishmania are injected into the skin, taken up by macrophages, and multiply. Often, the bite goes unnoticed.