1980
DOI: 10.1001/archderm.116.1.80
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Infestation by Tunga penetrans

Abstract: Infestation by the flea Tunga penetrans, although quite prevalent in Central America, South America, and Africa, is rarely recognized or reported in North America. This report describes a case of tungiasis occurring in a New York resident who acquired the disease in Africa. The patient manifested characteristic lesions of white papules with central black pits on the dorsa of her toes. Treatment consisted of removal of the offending parasites.

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Cited by 14 publications
(15 citation statements)
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“…A perilesional, inflammatory infiltrate, mainly consisting of lymphocytes, neutrophils, and numerous eosinophils, is also present. 8,18,21,25,29,30,33,44,61 Tungiasis causes a mixed Th1 and Th2 immune response, characterized by increased concentrations of interferon-γ and tumor necrosis factor-α and a mild increase of interleukin-4. 51…”
Section: Immunohistopathological Examinationsmentioning
confidence: 99%
“…A perilesional, inflammatory infiltrate, mainly consisting of lymphocytes, neutrophils, and numerous eosinophils, is also present. 8,18,21,25,29,30,33,44,61 Tungiasis causes a mixed Th1 and Th2 immune response, characterized by increased concentrations of interferon-γ and tumor necrosis factor-α and a mild increase of interleukin-4. 51…”
Section: Immunohistopathological Examinationsmentioning
confidence: 99%
“…Sporadic occurrence (Goldsmid 1981;Sane & Satoskar 1985;Mazzini et al 1988;Ibanez-Bernal & Velasco-Castrejon 1996). In Latin America, it is found in regions spanning Mexico to Northern Argentina and Chile (Faust & Maxwell 1930;Soria & Capri 1953;Grosshans & Pradinaud 1979;Taubman & Spielman 1979;Zalar & Walther 1980;Spielman et al 1986;Basler et al 1988;Mazzini et al 1988;Milgraum & Headington 1988;Rietschel 1989;Chadee et al 1991a;Ibanez-Bernal & Velasco-Castrejon 1996;Veraldi et al 1996;Oliver Llull et al 1997). In Africa, the ectoparasite is found in the whole sub-Saharan region: from Sierra Leone, Ivory Coast, Nigeria and Ethiopia to South Africa; it also occurs in Zanzibar and Madagascar (Hoeppli 1963;Tan-Lim & Pluis 1972;Fuga et al 1977;P®ster 1977;Ade-Serrano & Ejezie 1981;Baurle & Stroothenke 1981;Ejezie 1981;Goldsmid 1981;Peschlow et al 1983;Arene 1984;Obengui 1989;Sanusi et al 1989;Tonge 1989;Fimiani et al 1990;Pilgrim & Brown 1993;Spradbery et al 1994;Douglas-Jones et al 1995;Nte & Eke 1995).…”
Section: Geographical Distributionmentioning
confidence: 99%
“…In travellers returning from the tropics, biopsies are frequently performed and histopathological sections show the embedded ectoparasite and often eggs (Reiss 1966;Goldman 1976;Zalar & Walther 1980;Fimiani et al 1990;Douglas-Jones et al 1995). The differential diagnosis of tungiasis includes myiasis, verrucae vulgaris, ingrown foot nail, acute paronychia, mycotic granuloma, malign melanoma, and arthropod bites (Calviello et al 1989;Burke et al 1991;Wardhaugh & Norris 1994).…”
Section: Diagnosismentioning
confidence: 99%
“… 10 A few reports of tungiasis in developed countries are invariably associated with a recent history of visiting endemic areas. 3–10 …”
Section: Discussionmentioning
confidence: 99%
“… 1–2 Some isolated cases have been reported in New Zealand, 3 Australia, 4 Scotland, 5 and the USA. 6–9 It prevails in wet and shady places and in sandy soils. Tungiasis is more prevalent in areas characterized by poverty and its many consequences.…”
mentioning
confidence: 99%