Kucsera István, Vincze Ildikó, Danka József, Szénási Zsuzsanna
Országos Epidemiológiai Központ, Parazitológiai Osztály, Budapest, Gyáli út 2-6., 1097.
Orv Hetil. 2007 Oct 21;148(42):2003-5. doi: 10.1556/OH.2007.28043.
Tungiasis is a parasitic skin disease due to the permanent penetration of the female sand flea T. penetrans (Linnaeus, 1758) into the skin of its host.
A 39-year-old male patient was observed in May 2005 at the Outpatient Department of Dermato-Venerology Szent Rókus Hospital in Budapest because he felt the sensation of a foreign body growing under the skin of his left big toe. When the lesion occurred he was at Brazilian seaside, where he often walked barefooted. 6-7 days after, at the left big toe he saw on the margin oedematous, at the centre brownish punctuated lesion, 6-7 mm in diameter. Dermatological examination showed at the medial surface of the left big toe 6 mm in diameter, prominent, pustule-like lesion with approximately 2 mm rim of hyperemia. Surgically 4 mm in diameter whitish softish sheath was extracted. At the Department of Parasitology National Center for Epidemiology, Budapest, the parasite-like form was identified as Tunga penetrans.
With this case report the authors would like to call Hungarian physicians attention to this exotic disease imported into Hungary. To the best of the authors' knowledge, this is the first imported human case of tungiasis in Hungary.
潜蚤病是一种寄生虫性皮肤病，由雌性穿皮潜蚤（林奈，1758年）永久侵入宿主皮肤所致。
2005年5月，一名39岁男性患者因感觉左大脚趾皮下有异物生长，前往布达佩斯圣罗库斯皮肤病与性病门诊就诊。病变出现时他正在巴西海边，经常赤脚行走。6 - 7天后，他在左大脚趾边缘看到水肿，中央有褐色点状病变，直径6 - 7毫米。皮肤科检查显示左大脚趾内侧有一个直径6毫米、突出的脓疱样病变，周围有大约2毫米的充血边缘。手术取出了一个直径4毫米的白色软鞘。在布达佩斯国家流行病学中心寄生虫学部门，该寄生虫样形态被鉴定为穿皮潜蚤。
通过本病例报告，作者希望引起匈牙利医生对这种传入匈牙利的外来疾病的关注。据作者所知，这是匈牙利首例输入性人类潜蚤病病例。
