A tourist with tungiasis

Canadian Medical Association. Journal | August 14, 2007| | Copyright

CLINICAL VISTAS

A35-year-old man presented with a slightly painful papule with a central dark spot on his right heel (Figure 1). It had developed 2 weeks before his return to Canada after a 3-month vacation in Ecuador. The lesion was typical of tungiasis, which is endemic to Ecuador. A skin biopsy revealed the characteristic exoskeleton of Tunga penetrans, as well as its internal organs and eggs just beneath the stratum corneum (Figure 2). Excision of the lesion under aseptic conditions was performed (Figure 3).

Tungiasis is caused by an infestation of gravid female T. penetrans. T. ...

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