“…CCL was first reported in 1957 and nearly nothing was known about the disease before this date. In 1979, an outbreak involving 47 individuals arose in Tataouine; and the epidemiological investigation, which included the isoenzymatic typing of strains isolated from the patients, led to the identification of the parasite as the MON 8 zymodeme of L. tropica, named L. killicki, a species previously described in Kenya, Namibia, Yemen and, more recently in Algeria and Libya (Harrat et al, 2009;Rioux et al, 1986;Sang et al, 1994). Surprisingly, over the last decade, cases of CCL were reported in patients originating from areas where this form has never been previously reported, the first case being in a child from Meknassy in Sidi Bouzid governorate .…”