{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,7,30]],"date-time":"2025-07-30T12:13:51Z","timestamp":1753877631223,"version":"3.41.2"},"reference-count":10,"publisher":"Oxford University Press (OUP)","issue":"6","license":[{"start":{"date-parts":[[2019,7,1]],"date-time":"2019-07-01T00:00:00Z","timestamp":1561939200000},"content-version":"vor","delay-in-days":30,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"funder":[{"DOI":"10.13039\/100008196","name":"M\u00e9decins Sans Fronti\u00e8res","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100008196","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2019,6,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:p>Tungiasis is a highly prevalent yet neglected disease of populations affected by extreme poverty. It causes great discomfort and pain, leads to social stigmatization and, when left untreated, can cause serious complications. Although natural repellents have been shown to be effective, too little is being done in terms of systematic prevention and treatment. In addition, self-treatment (usually extraction of fleas with non-sterile sharp instruments) comports high risks of infection, notably with viral hepatitis and human immunodeficiency virus. In this article, we report seven severe cases of tungiasis in children living in a refugee camp in Tanzania, all of whom were treated with surgical extraction of the fleas because the topical treatment (dimethicone) was not available. Refugee camps\u2014particularly in sub-Saharan Africa where tungiasis is endemic\u2014should be considered high-risk areas for the condition. Aid organizations should engage in active case searching, and health promotion should be systematically carried out.<\/jats:p>","DOI":"10.1093\/omcr\/omz049","type":"journal-article","created":{"date-parts":[[2019,7,1]],"date-time":"2019-07-01T09:02:46Z","timestamp":1561971766000},"source":"Crossref","is-referenced-by-count":9,"title":["Tungiasis: a highly neglected disease among neglected diseases. Case series from Nduta refugee camp (Tanzania)"],"prefix":"10.1093","volume":"2019","author":[{"given":"Sandra Montserrat","family":"N\u00e1jera Villagrana","sequence":"first","affiliation":[{"name":"Pediatrics Department, Medecins Sans Frontieres, Mexico City, Mexico"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alejandra","family":"Garc\u00eda Naranjo Santisteban","sequence":"additional","affiliation":[{"name":"Pediatrics Department, Medecins Sans Frontieres, Mexico City, Mexico"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2019,6,24]]},"reference":[{"key":"2019120606530995000_ref1","doi-asserted-by":"crossref","first-page":"e3133","DOI":"10.1371\/journal.pntd.0003133","article-title":"Tungiasis\u2014a neglected disease with many challenges for global public health","volume":"8","author":"Feldmeier","year":"2014","journal-title":"PLoS Negl Trop Dis"},{"key":"2019120606530995000_ref2","doi-asserted-by":"crossref","first-page":"456","DOI":"10.1186\/s12879-018-3373-5","article-title":"Prevalence and risk factors for tungiasis among children of Wensho district, southern Ethiopia","volume":"18","author":"Girma","year":"2018","journal-title":"BMC Infect Dis"},{"key":"2019120606530995000_ref3","doi-asserted-by":"crossref","first-page":"743","DOI":"10.1179\/000349803225002408","article-title":"Topical treatment of tungiasis: a randomized, controlled trial","volume":"97","author":"Heukelbach","year":"2003","journal-title":"Ann Trop Med Parasitol"},{"key":"2019120606530995000_ref4","doi-asserted-by":"crossref","first-page":"e3058","DOI":"10.1371\/journal.pntd.0003058","article-title":"Treatment of tungiasis with dimethicone: a proof-of-principle study in rural Kenya","volume":"8","author":"Thielecke","year":"2014","journal-title":"PLoS Negl Trop Dis"},{"key":"2019120606530995000_ref5","doi-asserted-by":"crossref","first-page":"19","DOI":"10.1007\/s10096-012-1725-4","article-title":"Tungiasis (sand flea disease): a parasitic disease with particular challenges for public health","volume":"32","author":"Feldmeier","year":"2013","journal-title":"Eur J Clin Microbiol Infect Dis"},{"key":"2019120606530995000_ref6","doi-asserted-by":"crossref","DOI":"10.1371\/journal.pntd.0005939","article-title":"Tungiasis-related life quality impairment in children living in rural Kenya","volume":"12","author":"Wiese","year":"2018","journal-title":"PLoS Negl Trop Dis"},{"key":"2019120606530995000_ref7","doi-asserted-by":"crossref","first-page":"74","DOI":"10.1186\/s40249-018-0456-x","article-title":"Global output of research on epidermal parasitic skin diseases from 1967 to 2017","volume":"7","author":"Sweileh","year":"2018","journal-title":"Infect Dis Poverty"},{"key":"2019120606530995000_ref8","doi-asserted-by":"crossref","first-page":"51","DOI":"10.5694\/j.1326-5377.2005.tb06893.x","article-title":"Tungiasis in recently arrived African refugees","volume":"183","author":"Swaminathan","year":"2005","journal-title":"Med J Aust"},{"key":"2019120606530995000_ref9","doi-asserted-by":"crossref","first-page":"e300","DOI":"10.1371\/journal.pntd.0000300","article-title":"The neglected tropical diseases of Latin America and the Caribbean: a review of disease burden and distribution and a roadmap for control and elimination","volume":"2","author":"Hotez","year":"2008","journal-title":"PLoS Negl Trop Dis"},{"key":"2019120606530995000_ref10","doi-asserted-by":"crossref","first-page":"33","DOI":"10.3390\/tropicalmed2030033","article-title":"Control of tungiasis in absence of a roadmap: grassroots and global approaches","volume":"2","author":"Elson","year":"2017","journal-title":"Trop Med Infect Dis"}],"container-title":["Oxford Medical Case Reports"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/academic.oup.com\/omcr\/article-pdf\/2019\/6\/omz049\/31239808\/omz049.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"http:\/\/academic.oup.com\/omcr\/article-pdf\/2019\/6\/omz049\/31239808\/omz049.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2019,12,6]],"date-time":"2019-12-06T11:58:00Z","timestamp":1575633480000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/omcr\/article\/doi\/10.1093\/omcr\/omz049\/5521857"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2019,6,1]]},"references-count":10,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2019,6,1]]}},"URL":"https:\/\/doi.org\/10.1093\/omcr\/omz049","relation":{},"ISSN":["2053-8855"],"issn-type":[{"type":"electronic","value":"2053-8855"}],"subject":[],"published-other":{"date-parts":[[2019,6]]},"published":{"date-parts":[[2019,6,1]]},"article-number":"omz049"}}