Vector: sandfly
Occurs sporadically in rural Africa, Asia, Mediterranean, Central/South America
Wide variety of symptoms given numerous species of protozoa
500,000 new cases and 60,000 deaths each year
Leishmaniasis
Cutaneous/Mucocutaneous-bacterial skin infection
Tungiasis
Malignancy
Onchocerciasis
Sarcoidosis
Paraphimosis
Spider bite