Answer:
The answer is leishmaniasis.
Step-by-step explanation:
Leishmaniasis is transmitted through the bite of sandflies. It is caused by protozoan Leishmania parasites. According to the World Health Organization, In South America the epidemiology of leishmaniasis is complex and there are different transmission cycles, hosts, and clinical manifestations of the disease. There are also differential responses to therapy and a number of circulating Leishmania species. Brazil represents over 90% of the visceral leishmaniasis cases in South America which is the most lethal expression of the disease.