Anais Brasileiros de Dermatologia
On-line version ISSN 1806-4841
GATTI, Flávia Romero; OLIVEIRA, Caroline Montoza de; SERVILHA, Thais Reis and SANCHEZ, Ana Paula Galli. Generalized tungiasis treated with ivermectin. An. Bras. Dermatol. [online]. 2008, vol.83, n.4, pp.339-342. ISSN 1806-4841. http://dx.doi.org/10.1590/S0365-05962008000400009.
Tungiasis is an ectoparasitic infection caused by the penetration of the sand flea Tunga penetrans into the skin of the host. Flea infestation is associated with poverty and occurs in resource-poor communities in South and Central America, the Caribbean and Sub-Saharan Africa. In Brazil, it is widespread in urban squatter settlements, villages in the rural hinterland and in traditional fishing communities along the coast. Standard therapy for tungiasis consists of removing the embedded flea with a sterile needle, and using an antibiotic agent in case of secondary infection. At present, there is no drug in the market with satisfactory clinical efficacy. We describe a case of generalized Tunga penetrans infestation that was treated with oral ivermectin.
Keywords : Ectoparasitic infestations; Fleas; Ivermectin.