• Infestation by the flea Tunga penetrans, although quite prevalent in Central America, South America, and Africa, is rarely recognized or reported in North America. This report describes a case of tungiasis occurring in a New York resident who acquired the disease in Africa. The patient manifested characteristic lesions of white papules with central black pits on the dorsa of her toes. Treatment consisted of removal of the offending parasites.
(Arch Dermatol 116:80-81, 1980)
Zalar GL, Walther RR. Infestation by Tunga penetrans. Arch Dermatol. 1980;116(1):80-81. doi:10.1001/archderm.1980.01640250082023