Tunga penetrans

From WikiMD's medical encyclopedia

A parasitic insect causing skin infestation in humans and animals



Tunga penetrans, commonly known as the chigoe flea, jigger, or sand flea, is a parasitic insect found in tropical and subtropical regions. It is notorious for causing a condition known as tungiasis in humans and animals.

Description

Tunga penetrans is the smallest known flea, measuring about 1 mm in length. The flea is reddish-brown and has a flattened body, which allows it to move easily through the host's skin. The female flea burrows into the skin of its host, where it feeds on blood and lays eggs.

Life Cycle

The life cycle of Tunga penetrans consists of four stages: egg, larva, pupa, and adult. After the female flea burrows into the host's skin, it swells as it becomes engorged with blood and eggs. The eggs are expelled through the skin and fall to the ground, where they hatch into larvae. The larvae develop into pupae and eventually emerge as adult fleas, ready to find a new host.

Pathology

The infestation of Tunga penetrans in humans is known as tungiasis. The condition is characterized by severe itching, inflammation, and ulceration at the site of penetration. Secondary infections are common due to the open sores created by the flea. In severe cases, tungiasis can lead to complications such as tetanus, gangrene, and loss of toenails.

Prevention and Treatment

Preventive measures include wearing closed footwear and using insect repellents in endemic areas. Treatment involves the careful extraction of the embedded flea, followed by disinfection of the wound. In some cases, antibiotics may be necessary to treat secondary infections.

Distribution

Tunga penetrans is native to Central and South America but has spread to sub-Saharan Africa and parts of Asia. It thrives in sandy environments, often in rural and impoverished areas where people walk barefoot.

Impact on Communities

Tungiasis is a significant public health issue in affected regions, leading to disability and social stigma. Efforts to control the spread of Tunga penetrans include public health education, improved sanitation, and community-based interventions.

Related pages

References

  • Linnaeus, C. (1758). Systema Naturae.
  • Feldmeier, H., & Heukelbach, J. (2009). "Epidemiology and morbidity of tungiasis". Tropical Medicine & International Health.
  • Muehlen, M., et al. (2006). "The impact of tungiasis on the quality of life in poor communities in northeast Brazil". Open Dermatology Journal.
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Contributors: Prab R. Tumpati, MD