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**[[Psychodidae|Sand flies]] biting infected dogs may spread the disease to other dogs, humans and wildlife
**[[Psychodidae|Sand flies]] biting infected dogs may spread the disease to other dogs, humans and wildlife
**There is a slight possibility of transmission to humans by direct contact
**There is a slight possibility of transmission to humans by direct contact
In dogs
*disseminated disease of the monocyte-macrophage system
*protozoa; genus ''Leishmania''
*increased travel means clinincal disease may be acquired in endemic areas but now presents to veterinarians in non-endemic areas
*lymph node aspirates contain macrophages with organisms