title: Tungiasis Outbreak in Travelers From Madagascar.
abstract: Seven patients from a group of 16 travelers were diagnosed at our institution with one or more sand fleas on their toes, 1 day to 3 weeks after returning from Madagascar. A questionnaire was sent to the whole group to collect clinical and epidemiological information, which showed that 9 of 13 (69%) had received pre-travel medical advice, but none were aware of sand flea; thus prevention measures were rarely applied. Five of seven (71%) patients wore open sandals throughout the trip. Overall, 10 sand fleas were extracted.
authors.affiliation: Laboratoire de Parasitologie et Zoologie appliquée, Faculté de Médecine, et Institut de Parasitologie de l'Ouest, Rennes, France.|Laboratoire de Parasitologie, Mycologie et Immunologie parasitaire, Centre Hospitalier Régional Universitaire, Rennes, France.
authors.forename: Sorya
authors.initials: S
authors.lastname: Belaz
authors.affiliation: Laboratoire de Parasitologie, Mycologie et Immunologie parasitaire, Centre Hospitalier Régional Universitaire, Rennes, France.
authors.forename: Eugénie
authors.initials: E
authors.lastname: Gay
authors.affiliation: Laboratoire de Parasitologie et Zoologie appliquée, Faculté de Médecine, et Institut de Parasitologie de l'Ouest, Rennes, France.|Laboratoire de Parasitologie, Mycologie et Immunologie parasitaire, Centre Hospitalier Régional Universitaire, Rennes, France.
authors.forename: Florence
authors.initials: F
authors.lastname: Robert-Gangneux
authors.affiliation: Laboratoire de Parasitologie et Zoologie appliquée, Faculté de Médecine, et Institut de Parasitologie de l'Ouest, Rennes, France.
authors.forename: Jean-Claude
authors.initials: JC
authors.lastname: Beaucournu
authors.affiliation: Laboratoire de Parasitologie et Zoologie appliquée, Faculté de Médecine, et Institut de Parasitologie de l'Ouest, Rennes, France.|Laboratoire de Parasitologie, Mycologie et Immunologie parasitaire, Centre Hospitalier Régional Universitaire, Rennes, France.
authors.forename: Claude
authors.initials: C
authors.lastname: Guiguen
mesh_terms: D000368:Aged; D000818:Animals; D001733:Bites and Stings / Q000209:etiology / Q000628:therapy; D019468:Disease Management; D004196:Disease Outbreaks / Q000517:prevention & control*; D005260:Female; D005602:France / Q000453:epidemiology; D006801:Humans; D008270:Madagascar / Q000453:epidemiology; D008297:Male; D008875:Middle Aged; D020380:Needs Assessment; D011314:Preventive Health Services / Q000379:methods; D011481:Protective Clothing; D011795:Surveys and Questionnaires; D014034:Toes / Q000469:parasitology / Q000473:pathology; D014195:Travel; D058253:Tunga / Q000472:pathogenicity*; D058285:Tungiasis / Q000175:diagnosis / Q000209:etiology / Q000503:physiopathology / Q000628:therapy