Presentation
Striated muscle, the posterior end, and head, however, were present in 57%, 43%, and 0% of the biopsies, respectively. [ncbi.nlm.nih.gov]
The head (0%), posterior end (43%), and striated muscle (57%) either were not present or were inconsistently present. [the-medical-dictionary.com]
We have also presented the microscopic characteristics of the flea and the histologic differential diagnosis. [miami.pure.elsevier.com]
Entire Body System
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Severe Pain
In all, 77% of patients reported severe pain at the site of the lesion, and 52% had one or more nails lost or severely deformed. Intense inflammation and/or fissures hindered 45% of the patients from walking normally. [ncbi.nlm.nih.gov]
Psychiatrical
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Withdrawn
Compounds such as the antischisostomal drug Nirisadole were withdrawn from the market due to severe side effects; Ivermectin started showing effectiveness after 7 days, Thiabendazole has to be given for 10-18 days orally before its effects can be seen [omicsonline.org]
Neurologic
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Tingling
The patient typically complains about local itching, pain and the tingling sensation of a foreign body. Patients commonly report having walked in infested places such as beaches and farms. [omicsonline.org]
Workup
[…] fleas infest an individual, physical debilitation and secondary infections, such as tetanus or gas gangrene, may occur.4,5 In endemic areas, tungiasis is readily recognized by experienced physicians during physical examination, and further diagnostic workup [the-medical-dictionary.com]
Microbiology
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Dirofilaria Immitis
Wolbachia were labeled by immunohistology and immunogold electron microscopy using polyclonal antibodies against wsp of Drosophila, of the filarial parasite Dirofilaria immitis, or against hsp 60 from Yersinia enterocolitica. [ncbi.nlm.nih.gov]
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Plasmodium Falciparum
Transmission of Plasmodium falciparum in urban Yaounde, Cameroon, is seasonal and age-dependent. Trans R Soc Trop Med Hyg 97 : 375-379. [ Links ] Wilcke T, Heukelbach J, Cesar Saboia MR, Regina SK-P, Feldmeier H 2002. [scielo.br]
Treatment
After completion of 7 days of treatment patients noted that fleas were dislodging spontaneously, and that embedded parasites had not increased in size to the same extent that untreated fleas had in previous infestations. [ncbi.nlm.nih.gov]
Clearly, treatment in the community was a preferable approach. [mmj.mw]
(1).jpg 4.288 3.216; 3,15 MB Jigger infested foot - treatment (2).jpg 3.216 4.288; 2,91 MB Jigger infested foot - treatment (3).jpg 4.288 3.216; 3,01 MB Jigger infested hands (1).jpg 4.288 3.216; 3,1 MB Jigger infested knee (1).jpg 3.216 4.288; 2,92 [commons.wikimedia.org]
Etiology
As with the huaco from the Chicama Valley ( Figure 2 ), Ashmead erroneously concluded that the lesions depicted on the soles of the feet of persons depicted on these 2 jars represented signs of uta, which he believed to be skin tuberculosis (the etiology [doi.org]
Epidemiology
The proposed Fortaleza classification can be used for clinical and epidemiological purposes. It allows a more precise diagnosis, enables the assessment of chemotherapeutic approaches and helps to evaluate control measures at the community level. [ncbi.nlm.nih.gov]
Gustav Fischer, Stuttgart, pp 328–337 Google Scholar Muehlen M, Heukelbach J, Wilcke T, Winter B, Mehlhorn H, Feldmeier H (2003) Investigations on the biology, epidemiology, pathology and control of Tunga penetrans in Brazil. [doi.org]
The biology and epidemiology of tungiasis is poorly understood. This study thus proposes to sequence the full genome of Tunga penetrans as a first step in identifying possible interventions. [jobs.kemri-wellcome.org]
Key words: tungiasis - Tunga penetrans - epidemiology - morbidity - Brazil Tungiasis is a neglected parasitic skin disease of impoverished populations (Heukelbach et al. 2001). [scielo.br]
Pathophysiology
According to its pathophysiological basis, pathology can be schematically divided into two patterns, namely inflammation-related and itch-related. [who.int]
Prevention
In conclusion, in a setting in which tungiasis is an important health threat, the daily application of a plant-based repellent prevented the infestation with T. penetrans and sand flea disease. [ncbi.nlm.nih.gov]
There are allegations of the shoes being sold for profit after prevention campaigns in some areas. [omicsonline.org]
Transplantation Substance Use and Addiction Surgery Surgical Innovation Surgical Pearls Teachable Moment Technology and Finance The Rational Clinical Examination Tobacco and e-Cigarettes Toxicology Trauma and Injury Treatment Adherence United States Preventive [jamanetwork.com]
Heukelbach J: Revision on tungiasis: treatment options and prevention. Expert Rev Anti Infect Ther 2006;4:151–157. Joseph JK, Bazile J, Mutter J, Shin S, Ruddle A, Ivers L, Lyon E, Farmer P: Tungiasis in rural Haiti: a community-based response. [karger.com]