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Description:This image depicts a “crater ulcer” on the volar surface of this person’s right forearm due to a case of leishmaniasis. Note the scabby, erythematous raw wound interior, which revealed a blackish colored residue that was said to be the remnants of an unknown home remedy. The white areas on the arm were left behind when the adhesive bandages had been removed in order to reveal the wound.
Leishmaniasis includes two major diseases, cutaneous Leishmaniasis (CL) and visceral Leishmaniasis (VL), caused by more than 20 different leishmanial species.

CL, the most common form of the disease, causes skin ulcers. VL causes a severe systemic disease that is usually fatal without treatment. Mucocutaneous Leishmaniasis (MCL) is a rare but severe form affecting the nasal and oral mucosa.

Leishmaniasis is transmitted by the bite of small insects called sand flies. Many leishmanial species infect animals as well as humans. The distribution is world-wide, but 90% of visceral leishmaniasis cases occur in India, Bangladesh, Nepal, Sudan, Ethiopia and Brazil, while 90% of cutaneous leishmaniasis cases occur in Afghanistan, Algeria, Iran, Saudi Arabia, Syria, Brazil, Colombia, Peru and Bolivia.

High Resolution: Click here for hi-resolution image (18.35 MB)
Content Providers(s):CDC/ Dr. Mae Melvin
Creation Date:1962
Photo Credit:
Links:CDC - Global Health - Division of Parasitic Diseases and Malaria; Parasites - Leishmaniasis
CDC Organization
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Copyright Restrictions:None - This image is in the public domain and thus free of any copyright restrictions. As a matter of courtesy we request that the content provider be credited and notified in any public or private usage of this image.