ABSTRACT
ABSTRACT Epidermal parasitic skin diseases encompass scabies, pediculosis, cutaneous larva migrans, myiasis, and tungiasis. Tungiasis is probably the most neglected of all Neglected Tropical Diseases (NTD). It occurs in South America, the Caribbean and Sub-Saharan Africa and affects marginalized populations where people live in extreme poverty. In endemic communities the prevalence can be up to 30% in general population and 85% in children. Over time, chronic pathology develops characterized by hyperkeratosis, edema around the nail rim, fissures, ulcers, deformation and loss of nails. This leads to a pattern of disabilities, eventually resulting in impairment of mobility.Dimeticones are a family of silicon oils with a potential to kill parasites located on top or inside the epidermis by a physical mode of action. They are considered the treatment of choice for pediculosis capitis and pediculosis pubis. With regard to tungiasis, the so called rear abdominal cone of the parasites has been identified as a target for treatment with dimeticones. NYDA®, a mixture of two dimeticones with different viscosity, is the only dimeticone product for which data on the mode of action, efficacy and safety with regard to tungiasis exists. The product has been shown highly effective against embedded sand fleas, even in very intense infection with more than 500 parasites situated on top of each other. A randomized controlled trial showed that seven days after a targeted application of NYDA® 97% (95% CI 94-99%) of the embedded sand fleas had lost all signs of viability.Comprehensive toxicological investigations on the dimeticones contained in NYDA® showed that there is practically no risk of embryotoxicity, fetotoxicity, teratogenicity, and other toxicity. The safety of dimeticones was also demonstrated in clinical trials with a total of 106 participants with tungiasis, in which not a single adverse event was observed.
Subject(s)
Animals , Child , Female , Humans , Male , Dimethylpolysiloxanes/therapeutic use , Tungiasis/drug therapy , Neglected Diseases/drug therapy , Skin Diseases, Parasitic/parasitology , Skin Diseases, Parasitic/drug therapy , Clinical Trials as Topic , Neglected Diseases/parasitologyABSTRACT
Objetivo: estimar a prevalência de tungíase e identificar os fatores associados em uma área de aglomerado subnormal de Natal-RN. Metodologia: estudo populacional, transversal conduzido de novembro de 2008 a maio de 2009. Dados foram coletados através de questionários socioambiental, clínico-epidemiológico e clínico-veterinário. Todos os 310 indivíduos residentes foram examinados. Resultados: a prevalência foi 23,2 por cento (IC95 por cento: 18,6-28,3). Fatores independentemente associados foram: sexo masculino (OR=2,9; IC95 por cento: 1,2-7,0), analfabetismo/baixa escolaridade (OR=4,1; IC95 por cento: 1,7-9,6)) e uso de calçados variando de OR=13,7; IC95 por cento: 4,3-43,9 a OR=48,8; IC95 poe cento: 10,5-227,9. Conclusão: na população estudada, a tungíase estava fortemente associada à baixa escolaridade e inadequado uso de calçados.
Objective. to estimate the prevalence and to identify the associated factors of tungiasis in a shanty town in the capital city of Natal, State of Rio Grande do Norte, Brazil. Methodology: the population study was conducted from November 2008 to May 2009, when data were collected using socioenvironmental, epidemiological and veterinary questionnaires. A total of 310 residents were examined. Results: the prevalence was 23.2 per cent (95 per cent CI 18.6 - 28.3). Factors independently associated were: male (OR 95 per cent CI 2.9, 1.2 - 7.0), illiteracy/poor education (OR 95 per cent CI 4.1, 1.7 - 9.6) and footwear OR 95 per cent ranged from 13.7 (4.3 - 43.9) to 48.8 (10.5 - 227.9). Conclusion: in that population, tungiasis was strongly associated with low education and inadequate use of footwear.
Subject(s)
Humans , Animals , Male , Child, Preschool , Child , Adolescent , Adult , Middle Aged , Ectoparasitic Infestations , Prevalence , TrombiculidaeABSTRACT
Tungiasis is an ectoparasitic disease that is caused by the penetration of Tunga penetrans into the epidermis of the host. Tungiasis is indigenous to South Americaand the Caribbean regions, but it has spread to Latin America, India, and sub-Saharan Africa. The area of soft skin such as the soles, toes, webs and subungual regions are the favored sites for sand flea embedding. As the flea enlarges within epidermis a pruritic, painful white or erythematous papulonodule develops. A black central punctum is characteristic. A 32-year-old woman presented with a small black crust on the right sole after traveling to an endemic area(Congo). Histopathologic examination revealed the internal organs of the arthropod embedded intothe epidermis, which allowed a definitive diagnosis of tungiasis. Although tungiasis is common in endemic areas, there has been no report of tungiasis in the Korean literature. We report herein an interesting case of tungiasis in a patient after traveling to Congo.