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Imported human tungiasis in Greece.
Michael Dialynas1, Polyxeni Karakosta, Vrettos Haniotis
1Department of Clinical Microbiology, Parasitology, Zoonoses and Geographical Medicine, University Hospital of Heraklion, P.O. Box 1352, 71110 Heraklion, Crete, Greece.
Travel Medicine and Infectious Disease
|December 1, 2009
Summary
Tungiasis, a skin disease caused by the Tunga penetrans flea, is increasingly reported in travelers. This case highlights the need to consider tungiasis in the diagnosis of returning tourists.
Area of Science:
- Dermatology
- Infectious Diseases
- Parasitology
Background:
- Tungiasis is a neglected parasitic skin disease caused by the sand flea, Tunga penetrans.
- It is endemic in tropical and subtropical regions, affecting vulnerable populations.
- Imported cases are rising due to international travel.
Observation:
- A case of tungiasis is reported in Greece, a non-endemic area.
- The patient presented with a subungual lesion on the toe after returning from Tanzania.
- Histopathological examination confirmed the presence of Tunga penetrans.
Findings:
- This represents the first documented case of tungiasis in Greece.
- The clinical presentation included a characteristic dark crust on the lesion.
- The diagnosis was confirmed through histopathological analysis of the biopsy.
Implications:
- Tungiasis should be included in the differential diagnosis for patients with relevant travel history.
- Increased awareness among healthcare professionals is crucial for timely diagnosis and management.
- Public health initiatives may be needed to address the global spread of this parasitic disease.
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