Cutaneous leishmaniasis in Egypt (review and comment).

Leishmania is primarily characterized by existing in two stages in its life cycle, each occurs in a distinct host. The amastigote stage found in the cytoplasm of the reticulo- endothelial cells, monocytes and other phagocytic cells of the vertebrate host. The promastigote stage found in the gut of its insect vector. The leishmaniasis comprise several diseases of wide diversity of manifestations caused by different species of the genus Leishmania. Because of the virtual morphological identity of the organisms throughout the genus, they are classified according to the clinical conditions which they produce in man, under three main headings: (1) Cutaneous leishmaniasis (CL.), (2) Mucocutaneous leishmaniasis (MCL.), (3) Visceral leishmaniasis (VL). Generally speaking, leishmaniasis is an example of a zoonosis that reaches man through an insect vector. The great majority of the Leishmania species are maintained by mammalian reservoir hosts in natural foci of infection. Rodents, dogs, wild cats, jackals, foxes, sloths, hyraxes and other carnivores are the animal reservoirs which maintain the infection in nature. The insect vectors are over 50 species of the genus Phlebotomus in the Old World and genus Lutzomyia in the New World.