Work wide, including the US SW. Most cases come from Africa.
"B. ranarum can be found in soil; decaying vegetable matter; gastrointestinal tracts of amphibians (eg, frogs and toads), reptiles (eg, garden lizards and geckos), and fish; leaves from deciduous trees; bats; and feces of kangaroos and wallabies"
Abdomnial pain and a mass suggestioning cancer. Most are previously healthy or have diabetes (PubMed). May have eosinophilia.