The vector-borne protozoan Leishmania infantum chagasi causes minimal inflammation after inoculation into skin but disseminates to cause fatal visceral leishmaniasis. To define the inflammatory response at the parasite inoculation site, we introduced metacyclic L. infantum chagasi promastigotes intradermally into BALB/c mouse ears and studied inflammatory cells over 7 days. Ly6G؉ neutrophils rapidly infiltrated the dermis, peaking after 6 to 24 h. Macrophages and NK cells next infiltrated the dermis, and NK followed by B cells expanded in draining lymph nodes. Parasite-containing phagocytes were tracked with fluorescent mCherry-labeled L. infantum chagasi. Ly6G؉ neutrophils contained the greatest proportion of intracellular parasites 6 to 24 h after inoculation, whereas dermal macrophages harbored the majority of intracellular parasites after 2 to 7 days. These observations were validated microscopically. Low doses of antibody transiently depleted mice of neutrophils, leaving other cells intact. Combined results of in vivo imaging, flow cytometry, and quantitative PCR showed that neutrophil depletion slowed the clearance of extracellular (luciferase-positive) promastigotes during the first 24 h after inoculation yet decreased the numbers of leukocytes containing intracellular (mCherry-positive) parasites. From 3 days onward, total L. infantum chagasi-containing dermal leukocytes and total L. infantum chagasi parasites in draining lymph nodes were similar in both groups. Nonetheless, a second wave of L. infantum chagasi-containing neutrophils occurred 7 days after parasite inoculation into neutrophildepleted mice, corresponding to the time of neutrophil recovery. Thus, neutrophils were recruited to the dermis even late after inoculation, and L. infantum chagasi trafficked through neutrophils in both neutrophil-depleted and control mice, albeit with different kinetics. Recruitment of neutrophils and transient parasite residence in neutrophils may play a role in nonulcerative forms of leishmaniasis.Parasites belonging to the genus Leishmania cause a spectrum of human diseases, the most deadly of which is visceral leishmaniasis. Leishmania infantum chagasi is one of the two most common etiologic agents of visceral leishmaniasis in humans. During natural infection, a bolus of metacyclic promastigotes is delivered into a hemorrhagic dermal lesion formed by a feeding female phlebotomine sand fly (5). Parasites quickly encounter soluble and cellular microbicidal immune elements. Rather than succumb, many are taken up by phagocytic host cells, where they transform to intracellular amastigotes, a form that can multiply and survive in phagolysosomes (9, 48).Although the majority of host cells harboring Leishmania sp. amastigotes are macrophages, intracellular amastigotes have been observed in other mammalian cell types as well, including dendritic cells (DCs), fibroblasts, and neutrophils (6,21,28,33). Recent studies suggest that neutrophils can promote the early establishment of intradermal infection with Leishmania major...