Read this if you're headed somewhere tropical...
New England Journal of Medicine
. The girl had been playing in a pigsty in rural Brazil two weeks before visiting a doctor. For the 10 days leading up to her appointment, she had developedThe girl turned out to have a skin condition called tungiasis, a parasite infestation caused by a female sand flea. The flea, calledTungiasis occurs after the flea burrows into a person's skin. The fleasin the toes, heels, soles, and rims of the feet, according to the World Health Organization .
In areas where the disease is common, people are aware of what an infestation looks like. Once a doctor evaluates a tungiasis rash, a number of treatment options can be put into action. One is the surgical removal of the sand fleas. "Surgical extraction [of burrowed sand fleas] should only be performed in an appropriately equipped health facility or by an experienced community health worker using sterile instruments," according to the WHO.
In some areas where tungiasis is common, locals without access to doctors or sterile instruments end up removing embedded sand fleas themselves. Tungiasis can also be treated with a type of medicine called a dimeticone, a topical antiparasitic that has also been used to treat
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