Upper eyelid localisation of Tunga penetrans.

Ophthalmologica

Department of Ophthalmology, University of Kinshasa, Kinshasa, Democratic Republic of Congo.

Published: November 2007

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Article Abstract

Purpose: This report describes two cases of palpebral localisation of Tunga penetrans.

Methods: Two Congolese patients (a 17-year-old black man and a 12-year-old black girl) presented with a history of itching and oedema of the left upper eyelid.

Results: On inspection and slit lamp examination, the patients manifested the characteristic lesion of a white translucent papule with a central black pit. Scraping of the lesion revealed a gravid adult female flea, allowing the diagnosis of infection with the flea T. penetrans. After removal of the parasite, a complete local recovery occurred over a 1-week period with local application of tetracycline.

Conclusion: With the increase in international travelling, it is useful to know that eyelid localisation of T. penetrans is possible.

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http://dx.doi.org/10.1159/000107508DOI Listing

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