Upper eyelid localisation of Tunga penetrans.
OBJECTIVE
This report describes two cases of palpebral localisation of Tunga penetrans.


METHODS
Two Congolese patients (a 17-year-old black man and a 12-year-old black girl) presented with a history of itching and oedema of the left upper eyelid.


RESULTS
On inspection and slit lamp examination, the patients manifested the characteristic lesion of a white translucent papule with a central black pit. Scraping of the lesion revealed a gravid adult female flea, allowing the diagnosis of infection with the flea T. penetrans. After removal of the parasite, a complete local recovery occurred over a 1-week period with local application of tetracycline.


CONCLUSIONS
With the increase in international travelling, it is useful to know that eyelid localisation of T. penetrans is possible.
Kaimbo
D Kaimbo Wa
DK
Department of Ophthalmology, University of Kinshasa, Kinshasa, Democratic Republic of Congo. dieudonne_kaimbo@yahoo.com
Bifuko
A
A
Parys-Van Ginderdeuren
R
R
D000293:Adolescent; D000818:Animals; D002648:Child; D004478:Ectoparasitic Infestations / Q000150:complications / Q000188:drug therapy / Q000473:pathology* / Q000601:surgery*; D004487:Edema / Q000209:etiology; D005141:Eyelid Diseases / Q000209:etiology; D005143:Eyelids / Q000469:parasitology* / Q000473:pathology; D005260:Female; D006801:Humans; D008297:Male; D013508:Ophthalmologic Surgical Procedures; D011537:Pruritus / Q000209:etiology; D005423:Siphonaptera; D013752:Tetracycline / Q000627:therapeutic use
D013752:Tetracycline