Department of Clinical Microbiology, Parasitology, Zoonoses and Geographical Medicine, University Hospital of Heraklion, P.O. Box 1352, 71110 Heraklion, Crete, Greece.
Travel Med Infect Dis. 2009 Nov;7(6):375-7. doi: 10.1016/j.tmaid.2009.09.006. Epub 2009 Oct 14.
Tungiasis is a parasitic skin disease caused by the sand flea Tunga penetrans. It is widespread in poor urban and rural communities in sub-Saharan Africa, the Caribbean and South America. Imported cases of tungiasis are increasingly being reported due to the increased numbers of travelers visiting the affected areas.
A 28-year-old woman presented with a lesion on the subungual area of the right fourth toe, covered with a central dark crust. The lesion appeared two weeks after returning from Tanzania. The flea Tunga penetrans was identified by histopathological examination of a biopsy material. This is the first case of tungiasis in Greece.
Tungiasis should be considered in the differential diagnosis of parasitic infections in travelers returning from endemic geographical areas.
疥疮是一种由沙蚤 Tunga penetrans 引起的寄生虫性皮肤病。它广泛存在于撒哈拉以南非洲、加勒比和南美洲的贫困城乡社区。由于前往受影响地区的旅行者数量增加，越来越多的输入性疥疮病例被报告。
一名 28 岁女性因右第四脚趾甲下区域的病变就诊，病变处覆盖有中央暗褐色痂。病变出现在从坦桑尼亚返回两周后。通过对活检材料的组织病理学检查鉴定出沙蚤 Tunga penetrans。这是希腊首例疥疮病例。
对于从流行地区返回的旅行者，应考虑将疥疮纳入寄生虫感染的鉴别诊断中。
