Upper eyelid localisation of Tunga penetrans.
D Kaimbo Wa Kaimbo1, A Bifuko, R Parys-Van Ginderdeuren
1Department of Ophthalmology, University of Kinshasa, Kinshasa, Democratic Republic of Congo. dieudonne_kaimbo@yahoo.com
Summary
Two cases of Tunga penetrans, a parasitic flea, were reported infecting the eyelids of Congolese patients. Prompt diagnosis and removal led to complete recovery, highlighting the importance of recognizing this rare presentation.
Area of Science:
- Ophthalmology
- Dermatology
- Infectious Diseases
Background:
- Tunga penetrans, commonly known as the jigger flea, is a parasitic arthropod that burrows into the skin.
- While typically found on the feet and lower extremities, ectopic localizations can occur.
Observation:
- Two Congolese patients presented with pruritic, edematous lesions on the upper eyelid.
- Clinical examination revealed characteristic translucent papules with central puncta.
- Microscopic examination of lesion scrapings confirmed the presence of gravid Tunga penetrans females.
Findings:
- Successful diagnosis and treatment of palpebral Tunga penetrans infection were achieved.
- Surgical removal of the embedded fleas resulted in complete local recovery within one week.
- Topical tetracycline application aided in the resolution of secondary inflammation.
Implications:
- This case series underscores the possibility of Tunga penetrans infecting the eyelid, a rare but significant presentation.
- Increased international travel may lead to a greater prevalence of ectopic Tunga penetrans infections in non-endemic areas.
- Ophthalmologists and dermatologists should consider Tunga penetrans in the differential diagnosis of eyelid lesions, especially in travelers.
