Sue enjoyed skiing on lakes and swimming in rivers.  After a…

Sue enjoyed skiing on lakes and swimming in rivers.  After an outpatient surgery on her elbow,she began to experience flatulence, bloating, stomach aches and weight loss.  She learned that the cysts of the microbe that caused her GI symptoms had probably been acquired swimming in freshwater lakes and rivers.   The surgery was a stress that caused her to become susceptible to an infection by this microbe.  Which of the following was probably the microbe? 

This disease has three different clinical forms; cutaneous,…

This disease has three different clinical forms; cutaneous, mucocutaneous and visceral.  Upon initial infection, the microbe infects macrophages which release chemical messages that cause inflammation.  The pathogen is transmitted from rodents to dogs to humans by sand flies.  What is this disease called?