Tungiasis. A Case of Diagnosis of Tropical Dermatosis

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A case of tungiasis is presented — infestation with Tunga penetrans of a man who was on vacation in Peru, with eruptions localized on toes I and V of the both feet. For treatment of the patient, the parasites were surgically removed out of the lesions, whereupon the lesions were treated with antiseptics.

About the authors

V. V. Azam

State Research Center of Dermatovenereology and Cosmetology, Ministry of Health of the Russian Federation

Author for correspondence.
Email: azam@cnikvi.ru

PhD (Medicine), Dermatovenereologist, Centre for Consultation and Diagnostics 

Russian Federation

V. V. Chikin

State Research Center of Dermatovenereology and Cosmetology, Ministry of Health of the Russian Federation

Email: fake@neicon.ru

PhD (Medicine), Senior Scientific Researcher, Department of Dermatology 

Russian Federation

I. A. Borlakov

State Research Center of Dermatovenereology and Cosmetology, Ministry of Health of the Russian Federation

Email: fake@neicon.ru

Dermatovenereologist, Centre for Consultation and Diagnostics 

Russian Federation


  1. Heukelbach J., de Oliveira F. A., Hesse G., Feldmeier H. Tungiasis: a Neglected Health Problem of Poor Communities. Trop. Med. Int. Health. 2001;6(4):267–272.
  2. Zalar G. L., Walther R. R. Infestation by Tunga penetrans. Arch. Dermatol. 1980;116(1):80–81.
  3. Eisele M., Heukelbach J., Van Marck E. et al. Investigations on the Biology, Epidemiology, Pathology and Control of Tunga penetrans in Brazil: I. Natural History of Tungiasis in Man. Parasitol. Res. 2003;90(2):87–99.
  4. Feldmeier H., Heukelbach J., Eisele M. et al. Bacterial Superinfection in Human Tungiasis. Trop. Med. Int. Health. 2002;7(7):559–564.
  5. Burke W. A., Jones B. E., Park H. K., Finley J. L. Imported Tungiasis. Int. J. Dermatol. 1991;30(12):881–883.
  6. Maco V., Tantalean M., Gotuzzo E. Evidence of Tungiasis in Pre-Hispanic America. Emerg. Infect. Dis. 2011;17(5):855–862.
  7. Feldmeier H., Sentongo E., Krantz I. Tungiasis (Sand Flea Disease): a Parasitic Disease with Particular Challenges for Public Health. Eur. J. Clin. Microbiol. Infect. Dis. 2013;32(1):19–26.
  8. Witt L., Heukelbach J., Schwalfenberg S. et al. Infestation of Wistar Rats with Tunga penetrans in Different Microenvironments. Am. J. Trop. Med. Hyg. 2007;76(4):666–668.
  9. Spielman M. I., Potter G. K., Taubman S. M., Hodge W. R. Pain, Pruritus, and Swelling Localized to Two Toes. Tungiasis. Arch. Dermatol. 1986;122(3):330, 333.
  10. Basler E. A., Stephens J. H., Tschen J. A. Tunga penetrans. Cutis. 1988;42(1):47–48.
  11. Milgraum S. S., Headington J. T. A Subungual Nodule of Recent Onset. Tungiasis. Arch. Dermatol. 1988;124(3):429, 432.
  12. Chadee D. D., Furlonge E., Naraynsingh C., Le Maitre A. Distribution and Prevalence of Tunga penetrans in Coastal South Trinidad, West Indies. Trans. R. Soc. Trop. Med. Hyg. 1991;85(4):549.
  13. Ibanez-Bernal S., Velasco-Castrejon O. New Records of Human Tungiasis in Mexico (Siphonaptera: Tungidae). J. Med. Entomol. 1996;33(6):988–989.
  14. Veraldi S., Camozzi S., Scarabelli G. Tungiasis presenting with sterile pustular lesions on the hand. Acta Derm Venereol 1996; 76 (6): 495.
  15. Ade-Serrano M. A., Ejezie G. C. Prevalence of Tungiasis in Oto-Ijanikin Village, Badagry, Lagos State, Nigeria. Ann. Trop. Med. Parasitol. 1981;75(4):471–472.
  16. Baurle G., Stroothenke M. Tungiasis — eine Urlaubsdermatose. Hautarzt. 1981;32(7):372–373.
  17. Ejezie G. C. The Parasitic Diseases of School Children in Lagos State, Nigeria. Acta Trop. 1981;38(1):79–84.
  18. Goldsmid J. M. Tungiasis in Zimbabwe. Centr. Afr. J. Med. 1981;27(8):151–152.
  19. Peschlow I., Schlenzka K., Merk G., Neumann H. J. Tropendermatosen Aktuell. Tungiasis, Ulcus Tropicum, Leishmaniase. Beobachtungen aus der Praxis. Dermatol. Monatsschr. 1983;169(2):120–124.
  20. Arene F. O. The Prevalence of Sand Flea (Tunga penetrans) among Primary and Post-Primary School Pupils in Choba Area of the Niger Delta. Public Health. 1984;98(5):282–283.
  21. Sanusi I. D., Brown E. B., Shepard T. G., Grafton W. D. Tungiasis: Report of One Case and Review of the 14 Reported Cases in the United States. J. Am. Acad. Dermatol. 1989;20(5 Pt 2):941–944.
  22. Tonge B. L. Tetanus from Chigger Flea Sores. J. Trop. Pediatr. 1989;35(2):94.
  23. Nte A. R., Eke F. U. Jigger Infestation in Children in a Rural Area of Rivers State of Nigeria. West Afr. J. Med. 1995;14(1):56–58.
  24. Douglas-Jones A. G., Llewelyn M. B., Mills C. M. Cutaneous Infection with Tunga penetrans. Br. J. Dermatol. 1995;133(1):125–127.
  25. Mazigo H. D., Bahemana E., Dyegura O. et al. Severe Tungiasis in Western Tanzania: Case Series. J. Public Health Afr. 2011;2(2):e21.
  26. Wafula S. T., Ssemugabo C., Namuhani N. et al. Prevalence and Risk Factors Associated with Tungiasis in Mayuge District, Eastern Uganda. Pan Afr. Med. J. 2016;24:77.
  27. Sane S. Y., Satoskar R. R. Tungiasis in Maharashtra (a Case Report). J. Postgrad. Med. 1985;31(2):121–122.
  28. Pilgrim R. L., Brown G. An Instance of Tungiasis in New Zealand. N. Z. Med. J. 1993;106(955):180.
  29. Spradbery J. P., Bromley J., Dixon R., Tetlow L. Tungiasis in Australia: an Exotic Disease Threat. Med. J. Aust. 1994;161(2):173.
  30. Heukelbach J., Franck S., Feldmeier H. Tungiasis: More than an Exotic Nuisance. Travel Med. Infect. Dis. 2003;1(3):159–166.
  31. Sachse M. M., Guldbakke K. K., Khachemoune A. Tunga penetrans: a Stowaway from Around the World. J. Eur. Acad. Dermatol. Venereol. 2006;21(1):11–16.
  32. Pampiglione S., Fioravanti M. L., Gustinelli A. et al. Sand Flea (Tunga spp.) Infections in Humans and Domestic Animals: State of the Art. Med. Vet. Entomol. 2009;23(3):172–186.
  33. Heukelbach J., Costa A. M., Wilcke T. et al. The Animal Reservoir of Tunga penetrans in Severely Affected Communities of North-East Brazil. Med. Vet. Entomol. 2004;18(4):329–335.
  34. Pilger D., Schwalfenberg S., Heukelbach J. et al. Investigations on the Biology, Epidemiology, Pathology and Control of Tunga penetrans in Brazil: VII. The Importance of Animal Reservoirs for Human Infestation. Parasitol. Res. 2008;102(5):875–880.
  35. Muehlen M., Feldmeier H., Wilcke T. et al. Identifying Risk Factors for Tungiasis and Heavy Infestation in a Resource-Poor Community in Northeast Brazil. Trans. R. Soc. Trop. Med. Hyg. 2006;100(4):371–380.
  36. Ugbomoiko U. S., Ariza L., Ofoezie I. E., Heukelbach J. Risk Factors for Tungiasis in Nigeria: Identification of Targets for Effective Intervention. PLoS Negl. Trop. Dis. 2007;1(3):e87.
  37. Wilcke T., Heukelbach J., Ce´sar Sabo´ia Moura R. et al. High Prevalence of Tungiasis in a Poor Neighbourhood in Fortaleza, Northeast Brazil. Acta Trop. 2002;83(3):255–258.
  38. Chadee D. D. Tungiasis among Five Communities in South-Western Trinidad, West Indies. Ann. Trop. Med. Parasitol. 1998;92(1):107–113.
  39. Wilcke T., Heukelbach J., Harms G., Feldmeier H. Seasonal Variation of Tungiasis in an Endemic Community. Am. J. Trop. Med. Hyg. 2005;72(2):145–149.
  40. Heukelbach J., Wilcke T., Eisele M., Feldmeier H. Ectopic Localization of Tungiasis. Am. J. Trop. Med. Hyg. 2002;67(2):214–216.
  41. Muehlen M., Heukelbach J., Wilcke T. et al. Investigations on the Biology, Epidemiology, Pathology and Control of Tunga penetrans in Brazil: II. Prevalence, Parasite Load and Topographic Distribution of Lesions in the Population of a Traditional Fishing Village. Parasitol. Res. 2003;90(6):449–455.
  42. Wentzell J. M., Schwartz B. K., Pesce J. R. Tungiasis. J. Am. Acad. Dermatol. 1986;15(1):117–119.
  43. Bezerra S. M. Tungiasis — an Unusual Case of Severe Infestation. Int. J. Dermatol. 1994;33(10):725.
  44. Chadee D. D., Furlonge E., Naraynsingh C. Tungiasis in Trinidad: Case Report. Trans. R. Soc. Trop. Med. Hyg. 1991;85(2):308.
  45. Feldmeier H., Witt L. H., Schwalfenberg S. et al. Investigations on the Biology, Epidemiology, Pathology and Control of Tunga penetrans in Brazil: V. Cytokine Concentrations in Experimentally Infected Wistar Rats. Parasitol. Res. 2004;94(5):371–376.
  46. Feldmeier H., Eisele M., Heukelbach J., Saboia-Moura R. C. Severe Tungiasis in Underprivileged Communities: Case Series from Brazil. Emerg. Infect. Dis. 2003;9(8):949–955.
  47. Kehr J. D., Heukelbach J., Mehlhorn H., Feldmeier H. Morbidity Assessment in Sand Flea Disease (Tungiasis). Parasitol. Res. 2007;100(2):413–421.
  48. Mashek H., Licznerski B., Pincus S. Tungiasis in New York. Int. J. Dermatol. 1997;36(4):276–278.
  49. Joseph J. K., Bazile J., Mutter J. et al. Tungiasis in Rural Haiti: a Community-Based Response. Trans. R. Soc. Trop. Med. Hyg. 2006;100(10):970–974.
  50. Fimiani M., Reimann R., Alessandrini C., Miracco C. Ultrastructural Findings in Tungiasis. Int. J. Dermatol. 1990;29(3):220–222.
  51. Goldman L. Tungiasis in Travelers from Tropical Africa. JAMA. 1976;236(12):1386.
  52. Wardhaugh A. D., Norris J. F. A Case of Imported Tungiasis in Scotland Initially Mimicking Verrucae Vulgaris. Scott. Med. J. 1994;39(5):146– 147.
  53. Cardoso A. Generalized Tungiasis Treated with Thiabendazole. Arch. Dermatol. 1981;117(3):127.
  54. Турченко Е. С., Виснапу Т. В. География выездного и въездного российского туризма: анализ динамики и основных направлений в 2002–2012 гг. Псковский регионологический журнал. 2013;(16):163–168. [Turchenko E. S., Visnapu Т. V. Geography of Exit and Entrance Russian Tourism: Dynamics Analysis and Main Directions in 2002–2012. Pskovskij Regionologicheskij Zhurnal. 2013;(16):163–168.]
  55. Макеева Д. Р. Экономика туризма России на современном этапе: от выездного туризма к ориентированному на внутренний рынок. Вопросы региональной экономики. 2015;22(1):39–48. [Makeeva D. R. Russian Tourism Economy at the Present Stage: from Outbound to the Internal — Focus on the Domestic Market. Voprosy Regional’noj Ekonomiki. 2015;22(1):39–48.]
  56. Бронштейн А. М., Малышев Н. А., Кочергин Н. Г. и др. Болезни, вызываемые членистоногими: эруцизм clitoris, тунгиоз, кожный и кишечный миазы, у российских туристов. Анализ случаев и обзор литературы. Эпидемиология и инфекционные болезни. 2013;(2):40–46. [Bronshteyn A. M., Malyshev N. A., Kochergin N. G. et al. Diseases Caused by Arthropods — Moth Larva in Clitoris, Tungiasis, Cutaneous and Intestinal Myiasis in Russian Travelers: Report of Eight Cases and Review the Literature. Epidemiologija i Infekcionnye Bolezni. 2013;(2):40–46.]

Copyright (c) 2017 Azam V.V., Chikin V.V., Borlakov I.A.

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