title: Four imported cases of tungiasis in Mallorca.
abstract: Tungiasis is an endemic disease in many resource-poor communities some of which are in South America, which are visited frequently by Spanish travelers. Its diagnosis can be improved with the knowledge of the typical presentation and the correct management of its injuries. We report the first four cases identified of imported tungiasis in Mallorca. All four patients visited beaches in Brazil and presented the classical black lesions after their return. Two of the patients were diagnosed at primary care level and all were treated by dermatologists with surgical techniques. Dermoscopy was used for the initial approach to the injuries. Tungiasis can be suspected easily by examining carefully the black lesions and asking about previous travel. It can be treated readily by minor surgical techniques.
authors.affiliation: Mallorca Department of Primary Care, IBSALUT, C/Reina Esclarmunda 9, Palma de Mallorca, Balearic Islands, Spain. jarranz@ibsalut.caib.es
authors.forename: J
authors.initials: J
authors.lastname: Arranz
authors.forename: R
authors.initials: R
authors.lastname: Taberner
authors.forename: A
authors.initials: A
authors.lastname: Llambrich
authors.forename: C
authors.initials: C
authors.lastname: Nadal
authors.forename: I
authors.initials: I
authors.lastname: Torné
authors.forename: A
authors.initials: A
authors.lastname: Vila
authors.forename: E
authors.initials: E
authors.lastname: Parera
authors.forename: F
authors.initials: F
authors.lastname: Terrasa
mesh_terms: D000328:Adult; D000818:Animals; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D001424:Bacterial Infections / Q000517:prevention & control; D001938:Brazil / Q000208:ethnology; D046169:Dermoscopy; D005260:Female; D006801:Humans; D008297:Male; D013030:Spain; D013745:Tetanus Toxoid / Q000627:therapeutic use; D014195:Travel; D058253:Tunga; D058285:Tungiasis / Q000175:diagnosis* / Q000382:microbiology / Q000469:parasitology / Q000601:surgery
chemical_list: D000900:Anti-Bacterial Agents; D013745:Tetanus Toxoid