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In Colombia, the cutaneous leishmaniasis (CL) is the most common manifestation across the army personnel. Hence, it is mandatory to determine the species associated with the disease as well as the association with the clinical traits. A total of 273 samples of male patients with CL were included in the study and clinical data of the patients was studied. PCR and sequencing analyses (Cytb and HSP70 genes) were performed to identify the species and the intra-specific genetic variability. A georeferenced database was constructed to identify the spatial distribution of  Leishmania  species isolated. The identification of five species of  Leishmania  that circulate in the areas where army personnel are deployed is described. Predominant infecting  Leishmania  species corresponds to  L .  braziliensis  (61.1%), followed by  Leishmania panamensis  (33.5%), with a high distribution of both species at geographical and municipal level. The species  L .  guyanensis ,  L .  mexicana  and  L .  lainsoni  were also detected at lower frequency. We also showed the identification of different genotypes within  L .  braziliensis  and  L .  panamensis . In conclusion, we identified the  Leishmania  species circulating in the areas where Colombian army personnel are deployed, as well as the high intra-specific genetic variability of  L .  braziliensis  and  L .  panamensis  and how these genotypes are distributed at the geographic level.

Spatial distribution, Leishmania species and clinical traits of Cutaneous Leishmaniasis cases in the Colombian army