3rd August 2023

A 33-year-old Brazilian woman, returning to the UK from visiting her family in a rural region of North Brazil

A 33-year-old Brazilian woman, returning to the UK from visiting her family in a rural region of North Brazil, presents to her GP with a papule on the dorsum of her hand. Weeks later, this develops into a nodule with a central depression and a raised indurated border. It becomes itchy and is unresponsive to flucloxacillin. A dermatologist is suspicious of cutaneous leishmaniasis.

What vector is associated with the transmission of this disease?

Select the SINGLE most appropriate option from the list below. Select ONE option only.