Medical Microbiology

Leishmania

Causativeagentofleishmanioses

&Leishmaniasaretransmittedbysandflies(Phlebotomidal)andcausethe

followingmainformsofleishmaniosesinwarmregions:visceralleishma-

nioses(VL),cutaneousleishmanioses(orientalsore)(CL),andmucocutaneous

leishmanioses(MCL).InCentralEurope,leishmaniosisisofsignificanceasan

importeddiseaseandasanHIV-associatedinfection. &

Leishmania 493

DistributionofLeishmanioses

Leishmania infantum

Leishmania chagasi

Leishmania donovani

Leishmania major Leishmania species of the New World

Leishmania major and L. tropica

Leishmania tropica Leishmania aethiopica

a

b

Fig.9. 7 aVisceralleishmaniosis,bcutaneousandmucocutaneousleishmanioses

(accordingtoBrycesonADM,inCookGC,ed.Manson’sTropicalDiseases.20thed.,

London:Saunders; 1 996: 1217 – 121 9).

9

Kayser, Medical Microbiology © 2005 Thieme