What is Tunga penetrans?
Flea, found in tropical areas, people who walk barefoot
What is this?
Tungiasis
Inflammatory nodule with central crater
Once eggs have hatched
Management of tungiasis
Surgical - needles or scissors extraction
What is myiasis?
Infection produced by maggots of certain flies
Most common organism myiasis?
Dermatobia hominis
If in Africa: Cordylobia antropophaga
Key feature of a lesion caused by dermatobia hominus?
Hole is open on lesion - for larvae to come out and in
Put liquid over the hole - can see bubbling
Blister beetle dermatitis - organism? When is it seen and how does it present?
Paederus Dermatitis
Causes a vesicular dermatitis in a linear array like ‘whip lash’
Related to increase T° as in during “ El Niño”
What does paederus rely on?
Presence of pseudomonas in skin
Papular urticaria - caused by? How does it present?
Insect bites - usually around clothing lining
What is the organism causing bed bugs?
Cimex lectularius - 3 in a row
What causes TROMBIDIASIS?
Chiggers (mites)
The classical bite : paroxistic itching, maculae-papule on legs
with central red puncture
Organism for scabies?
Sarcoptes scabiei var. hominis
Life cycle of scabies infection?
Pregnant female burrows under the skin.
2-3 eggs daily for 4-5 weeks, then dies.
Cycle from egg to adult = 15-21 days
Transmission of scabies?
Close contact (including sex)
Characteristic appearance clinically of scabies?
Itching at night, crusted lines
interdigital spaces, wrists, anterior axillary areas, periumbilical skin
In infants : face, palms and soles, with pustules and blisters
Unusual presentation of scabies?
Nodular scabies
Crusted scabies (immunosuppressed - HTLV1)
Diagnosis? Test for?
Crusted scabies (Norwegian)
HTLV1
Other diseases associated with crusted scabies?
Lymphoma, Downs, HIV
Rx of scabies?
Ivermectin
Also creams: Permethrin