Tunga penetrans

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Jigger flea
ChiggerBMNH.jpg
Scientific classification
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T. penetrans
Binomial name
Tunga penetrans

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Tunga penetrans
Jigger infested foot

Tunga penetrans (chigoe flea or jigger) is a parasitic arthropod found in most tropical and sub-tropical climates. It is native to Central and South America, and has been inadvertently introduced by humans to sub-Saharan Africa.[1] At 1 mm long, T. penetrans is the smallest known flea.[1] Synonyms for Tunga penetrans include Sarcopsylla penetrans, Pulex penetrates, and many others[2]

Description

Breeding females burrow into exposed skin on the feet of mammals and remain there for two weeks while developing eggs, during which time they swell dramatically, sometimes causing intense irritation, a condition called tungiasis. After this point, the skin lesion looks like a 5- to 10-mm blister with a central black dot, which are the flea's exposed hind legs, respiratory spiracles and reproductive organs.[3]

If the flea is left within the skin, dangerous complications can occur including secondary infections, loss of toenails, and toe deformation. These seem to be commonplace especially where heavy infestations combine with unsanitary conditions and poverty.[1]

The parasitic flea lives in soil and sand, and feeds intermittently on warm-blooded hosts, such as humans and cattle. Males leave the host after a blood meal like other fleas, but the female flea burrows head-first into the host's skin, leaving the caudal tip of its abdomen visible through an orifice in a skin lesion. This orifice allows the flea to defecate while feeding from blood vessels that provide oxygen for respiration as well. It lives in the cutaneous and subcutaneous dermal layer. Over the next two weeks, its abdomen swells with up to several hundred to a thousand eggs, which it releases through the caudal orifice to fall to the ground when ready to hatch. The flea then dies and is often the cause of infection as the body rots under the thick scales its body chemistry created to protect it. The eggs mature into adult fleas within three to four weeks and the process begins anew.

Since the fleas spend most of their time on the ground, tungiasis lesions are usually on the feet; however, like most fleas they are capable of jumping up 20 cm, and lesions may occur on any part of the body, favoring regions of soft skin such as between the toes.[1] During the first day or two of infection, the host may feel an itching or irritation which then passes as the area around the flea calluses and becomes insensitive. As the flea's abdomen swells with eggs later in the cycle, the pressure from the swelling may press neighbouring nerves or blood vessels. Depending on the exact site, this can cause sensations ranging from mild irritation to serious discomfort.

In addition to T. penetrans, the genus Tunga includes over a dozen species, which infect various specific mammals in South America.[2][4]

In Lingala-speaking areas liyanzi (singular) or mayanzi (plural)
In Kiswahili funza
In Brazil bicho-de-pé (foot bug)
In Spanish pique (due to the itching and burning sensation it produces)
in Central America, Peru, Colombia and Ecuador nigua
In Luganda nvunza
In Guarani
In Kinyarwanda and Kirundi ivunja or imvunja (singular) or amavunja (plural)
In Madagascar Parasy

See also

External links

  • Ahadi Kenya Trust is a non-governmental organization founded in 2007 whose major activity is to eradicate jiggers.
  • Rise Up Society, a registered charitable organization in Kenya, works to improve the plight of the poor in rural communities through its economic and health initiatives. Its jigger eradication program, Kill the Jigger, treats patients, fumigates living quarters, provides shoes, and educates local leaders.
  • Sole Hope, registered in the United States as a 501(c)(3) charity, aims to prevent jiggers (and other diseases that enter through the foot) throughout Uganda. In addition to providing shoes to individuals, Sole Hope also trains local men and women to make shoes, thus providing them with a useful trade through which they can earn income.
  • Whisper, a registered charity in England and Wales, runs a jigger treatment and education program[5] in Uganda, as a part of their broader mission to benefit children in the region.
  • The World Health Organization issued a bulletin, published online 28 November 2008, entitled "Epidermal parasitic skin diseases: a neglected category of poverty-associated plagues."

References

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  1. 1.0 1.1 1.2 1.3 Cestari TF, Pessato S, Ramos-e-Silva M Tungiasis and myiasis. Clin Dermatol. 2007 Mar-Apr;25(2):158-64.
  2. 2.0 2.1 Lua error in package.lua at line 80: module 'strict' not found. open access publication - free to read
  3. Muehlstaedt M Periungual Tungiasis (2008) Images in clinical medicine. N Engl J Med 359(24):e30.
  4. Lua error in package.lua at line 80: module 'strict' not found. open access publication - free to read
  5. Lua error in package.lua at line 80: module 'strict' not found.