This is caused by

This is a picture of Cutaneous leishmaniasis (oriental sore), the most common form of leishmaniasisThree distinct patterns of old world cutaneous leishmaniasis have been recognized.1) The anthroponotic urban type causing painless dry ulcerating lesions, leading to disfiguring scars, caused by the species L. tropica. It begins as a raised papule, which grows into a nodule that ulcerates over some weeks.2) The zoonotic rural type causing moist ulcers which are inflamed, often multiple, caused by L. major.3)The non-ulcerative and often diffuse lesions caused by L. aethiopica and seen in the highlands of Ethiopia and Kenya are known as diffuse cutaneous leishmaniasis.Panicker parasitology pg: 60