Disseminated tungiasis in a 78-year-old woman from Tanzania: a case report
Identifieur interne : 001176 ( Main/Exploration ); précédent : 001175; suivant : 001177Disseminated tungiasis in a 78-year-old woman from Tanzania: a case report
Auteurs : Pedro Pallangyo [Tanzanie] ; Paulina Nicholaus [Tanzanie]Source :
- Journal of Medical Case Reports [ 1752-1947 ] ; 2016.
Abstract
Tungiasis is one of the neglected tropical diseases; it affects up to 40% of individuals living in societies with poor housing and sanitation standards. In endemic areas,
A 78-year-old woman of African descent presented with pain, inflammation, suppuration, ulceration, and deformation of digits of all four limbs. She had a total of 1146 embedded sand fleas: 812 in lower limbs and 334 in her hands. She was febrile; her full blood count revealed pancytopenia and blood cultures were positive for
Tungiasis is a neglected disease of concern in underprivileged societies that is preventable and curable. Early recognition and prompt treatment is crucial to prevent complications in this disease which may potentially mimic other conditions resulting in erroneous management.
Url:
DOI: 10.1186/s13256-016-1146-6
PubMed: 27998311
PubMed Central: 5175379
Affiliations:
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Le document en format XML
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<affiliation wicri:level="1"><nlm:aff id="Aff1">Unit of Research, Jakaya Kikwete Cardiac Institute, PO Box 65141, Dar es Salaam, Tanzania</nlm:aff>
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<author><name sortKey="Nicholaus, Paulina" sort="Nicholaus, Paulina" uniqKey="Nicholaus P" first="Paulina" last="Nicholaus">Paulina Nicholaus</name>
<affiliation wicri:level="1"><nlm:aff id="Aff1">Unit of Research, Jakaya Kikwete Cardiac Institute, PO Box 65141, Dar es Salaam, Tanzania</nlm:aff>
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<front><div type="abstract" xml:lang="en"><sec><title>Background</title>
<p>Tungiasis is one of the neglected tropical diseases; it affects up to 40% of individuals living in societies with poor housing and sanitation standards. In endemic areas, <italic>Tunga</italic>
infestation, which predominantly affects the periungual areas of the lower limbs in humans, is associated with considerable morbidity and poor quality of life.</p>
</sec>
<sec><title>Case presentation</title>
<p>A 78-year-old woman of African descent presented with pain, inflammation, suppuration, ulceration, and deformation of digits of all four limbs. She had a total of 1146 embedded sand fleas: 812 in lower limbs and 334 in her hands. She was febrile; her full blood count revealed pancytopenia and blood cultures were positive for <italic>Staphylococcus aureus</italic>
and <italic>Streptococcus pyogenes</italic>
isolates. Furthermore, she had severe hyponatremia. We applied 20% salicylated petroleum jelly followed by the manual removal of embedded sand fleas with a sterile needle. Intravenously administered piperacillin-tazobactam, topical ivermectin, ferrous sulfate, folic acid, tolvaptan, albendazole, multivitamins, and tetanus prophylaxis were instituted. She was discharged home after 16 days of hospitalization.</p>
</sec>
<sec><title>Conclusions</title>
<p>Tungiasis is a neglected disease of concern in underprivileged societies that is preventable and curable. Early recognition and prompt treatment is crucial to prevent complications in this disease which may potentially mimic other conditions resulting in erroneous management.</p>
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