Leishmania Infection

Leishmaniasis is a group of diseases caused by parasitic protozoa of the genus Leishmania, transmitted to humans and other vertebrates through the bites of infected sand flies. These intracellular parasites undergo a complex life cycle, alternating between a flagellated promastigote stage in the sand fly vector and an amastigote form within mammalian host cells, primarily macrophages. After transmission during blood feeding, promastigotes are phagocytosed by mononuclear phagocytes, where they differentiate into amastigotes that replicate intracellularly, leading to cell rupture and dissemination to new host cells, including dendritic cells and fibroblasts. The disease manifests in various clinical forms—cutaneous, mucosal, and visceral—depending on the species involved and host immune responses. Leishmaniasis remains a significant global health concern, with an estimated 12 million people currently infected and 2 million new cases reported annually. Its increasing prevalence is driven by factors such as the HIV/AIDS epidemic, international travel, limited vaccine availability, challenges in vector control, conflict-related displacement, and growing resistance to antileishmanial drugs.
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