23. What is the etiological
agent of visceral
leishmaniasis? How is the
disease transmitted and what
are its typical manifestations?

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Visceral leishmanias is is by the
protozoan Leishmania .
The transmission is similar the
cutaneous leishmaniasis, by bite of
sand flies. affected organs generally
are liver, the spleen and bone
marrow. The patient has fever,
weight loss, (hypertrophy
of the spleen), and decreased
counts of and platelets. The
disease cause death.