title: Cutaneous leishmaniasis in Texas: A northern spread of endemic areas.
abstract: Leishmaniasis, an infection caused by various species of Leishmania protozoa, is usually transmitted by the bite of phlebotomine sandflies. The clinical presentations are extremely diverse and dependent on a variety of host and parasitic factors. Although rare in the United States, cutaneous leishmaniasis is endemic in south-central Texas. At this time, no autochthonous cases of cutaneous leishmaniasis are known to have been reported in north Texas. We report 9 autochthonous cases of cutaneous leishmaniasis obtained in residents of north Texas. None of these patients had any travel history to areas known to be endemic for Leishmania.
authors.affiliation: University of Texas Health Science Center at Houston, Houston, Texas, USA.
authors.forename: Natalie A
authors.initials: NA
authors.lastname: Wright
authors.forename: Lance E
authors.initials: LE
authors.lastname: Davis
authors.forename: Kent S
authors.initials: KS
authors.lastname: Aftergut
authors.forename: Charles A
authors.initials: CA
authors.lastname: Parrish
authors.forename: Clay J
authors.initials: CJ
authors.lastname: Cockerell
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D000818:Animals; D002648:Child; D019353:Endemic Diseases / Q000706:statistics & numerical data; D005260:Female; D006801:Humans; D007892:Leishmania braziliensis; D016773:Leishmaniasis, Cutaneous / Q000453:epidemiology*; D008297:Male; D008875:Middle Aged; D013781:Texas / Q000453:epidemiology