title: Cutaneous infection with Tunga penetrans.
abstract: A 23-year-old man presented with a small black lesion at the distal margin of the right great toenail. He had returned from the Ivory Coast 1 month previously, having spent 6 weeks there. Histopathological examination of material extruded from the lesion showed a variety of arthropod internal organs, allowing a definitive diagnosis of infection with the ectoparasitic flea Tunga penetrans. Curettage of the lesion revealed a gravid adult female flea.
authors.affiliation: Department of Pathology, University of Wales College of Medicine, Heath Park, Cardiff, U.K.
authors.forename: A G
authors.initials: AG
authors.lastname: Douglas-Jones
authors.forename: M B
authors.initials: MB
authors.lastname: Llewelyn
authors.forename: C M
authors.initials: CM
authors.lastname: Mills
mesh_terms: D000328:Adult; D000818:Animals; D004478:Ectoparasitic Infestations / Q000473:pathology*; D005260:Female; D005533:Foot Dermatoses / Q000473:pathology*; D006801:Humans; D008297:Male; D005423:Siphonaptera; D014034:Toes