Cutaneous leishmaniasis is caused by protozoan parasites of the genusParasites of the protozoan genus Leishmania are transmitted by sandflies to mammalian hosts, including humans, in which they elicit a spectrum of diseases that range from cutaneous to mucocutaneous and visceral leishmaniasis (48). One key factor that determines the clinical manifestation and course of infection is the parasite species. Thus, local cutaneous leishmaniasis is caused by Leishmania (subgenus Leishmania) major and L. (L.) tropica in Europe and the Near and Far East and by Leishmania (subgenus Viannia) braziliensis, L. (V.) guyanensis, and Leishmania (L.) mexicana in the Americas, whereas the prototypic species associated with visceral leishmaniasis are Leishmania (L.) donovani, Leishmania (L.) infantum, and (L.) chagasi (18,66)