Espondia (Espundio) (Synonym: Brazilian mucocutaneous leishmaniasis). American mucocutaneous leishmaniasis has several nosological forms, the causative agents of which belong to the L. brasiliensis complex. The most severe form is Brazilian leishmaniasis (espondia), in which in 80% of cases, in addition to skin ulcers at the site of introduction of the pathogen, extensive lesions of the mucous membranes of the nasopharynx, larynx, as well as cartilage of soft tissues and even bones occur.