| a cluster of cutaneous leishmaniasis associated with human smuggling. | abstract. cutaneous leishmaniasis (cl) is rarely seen in the united states, and the social and geographic context of the infection can be a key to its diagnosis and management. four somali and one ethiopian, in u.s. border patrol custody, came to the united states by the same human trafficking route: djibouti to dubai to moscow to havana to quito; and then by ground by columbia/panama to the united states - mexico border where they were detained. although traveling at different times, all five p ... | 2011 | 21633017 |