Tungiasis- skin infestations

Question 1

tungiasis is caused by what

Answer 1

by a flea calledTunga penetrans.

Question 2

how does tungiasis come about (2)

Answer 2

1. An impregnated female flea burrows into skin and lodges in the epidermis and engorges.
2. Creates a lesion that resembles an abscess with a central punctum.

Question 3

what complications can occur (3)

Answer 3

1. ulceration
2. infection (including tetanus)
3. lymphangitis.

Question 3

what area is commonly affected in tungiasis

Answer 3

the feet due to limited jumping ability

Question 4

what other sites are affected in tungiasis (6)

Answer 4

1. soles
2. toes
3. toe webs
4. thighs
5. perineum
6. genitalia.

Question 4

what is a clinical feature of tungiasis

Answer 4

Pain or itch as the flea burrows.

Question 5

how can you treat tungiasis (4)

Answer 5

1. spontaneous recovery may occur
2. Manual removal of flea with sterile needle
3. If numerous, topical ivermectin, vaseline, paraffin may facilitate killing of the flea, but the actual fleas will eventually need manual removal .
4. Consider tetanus prophylaxis

Question 6

how can you prevent tungiasis (2)

Answer 6

1. wear shoes
2. avoid sitting and or walking bare in beaches in endemic areas.