Leishmaniasis is a worldwide zoonotic disease caused by protozoan parasites of the genus Leishmania. It is endemic in parts of Central and South America, Africa, Asia, and the Mediterranean. Dogs and rodents are major animal reservoirs. In humans, it can cause cutaneous, mucocutaneous, or visceral disease. Cutaneous disease causes skin ulcers, mucocutaneous disease destroys tissues of the nose and mouth, and visceral disease affects the spleen and liver and can be fatal if untreated. The parasites are transmitted between hosts by the bite of infected sand flies.