229 Ch 229. Leishmaniasis

Sandfly-borne intracellular protozoan; 4 clinical forms (cutaneous, mucocutaneous, visceral kala-azar, post-kala-azar dermal); visceral leishmaniasis (VL) fatal if untreated; liposomal amphotericin B + miltefosine modern first-line; ~ 700K-1M new cases + 26-65K deaths/yr globally; HIV co-infection complicates。