Systemic leishmaniasis often occurs months after an ... if you're in an area where sand flies have become more prevalent, the CDC recommends using EPA-registered repellants that use DEET for ...

It marks her left cheek and is spreading towards her nose – a painful hallmark of the skin infection cutaneous leishmaniasis, spread by the sandfly. The face lesion appeared around 46 days ago.

Visceral leishmaniasis affects one's internal organs ... provided by the US Centers for Disease Control and Prevention (CDC).