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However, increasing numbers of returning travellers, immigrants, and adopted children are also affected in non\u2010tropical countries. It is a cause of substantial morbidity, with prevalence rates as high as 76% in certain endemic areas. To date, the early extraction of the flea is still the first line therapy.<\/jats:p>","DOI":"10.1111\/j.1468-3083.2006.01888.x","type":"journal-article","created":{"date-parts":[[2006,11,28]],"date-time":"2006-11-28T19:35:56Z","timestamp":1164742556000},"page":"11-16","source":"Crossref","is-referenced-by-count":32,"title":["<i>Tunga penetrans<\/i>: a stowaway from around the world"],"prefix":"10.1111","volume":"21","author":[{"given":"MM","family":"Sachse","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"KK","family":"Guldbakke","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"A","family":"Khachemoune","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2006,11,28]]},"reference":[{"key":"e_1_2_4_2_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(00)71405-X"},{"key":"e_1_2_4_3_2","first-page":"143","article-title":"Early references to the occurrence of Tunga penetrans in tropical Africa","volume":"20","author":"Hoeppli R.","year":"1963","journal-title":"Acta Trop"},{"key":"e_1_2_4_4_2","doi-asserted-by":"publisher","DOI":"10.1001\/archderm.93.4.404"},{"key":"e_1_2_4_5_2","doi-asserted-by":"publisher","DOI":"10.1046\/j.1365-3156.2001.00716.x"},{"key":"e_1_2_4_6_2","doi-asserted-by":"crossref","first-page":"446","DOI":"10.1093\/milmed\/91.4.446","article-title":"A discussion of the chigoe (Tunga penetrans) based on experiences in British Guiana","volume":"82","author":"Bruce CO","year":"1942","journal-title":"The Military Surgeon"},{"key":"e_1_2_4_7_2","doi-asserted-by":"publisher","DOI":"10.1001\/archderm.1930.01440130104007"},{"key":"e_1_2_4_8_2","doi-asserted-by":"publisher","DOI":"10.1097\/00006454-200005000-00024"},{"key":"e_1_2_4_9_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(04)15738-3"},{"key":"e_1_2_4_10_2","first-page":"79","article-title":"The parasitic diseases of school children in Lagos State, Nigeria","volume":"38","author":"Ejezie GC.","year":"1981","journal-title":"Acta Trop"},{"key":"e_1_2_4_11_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.trstmh.2005.06.033"},{"key":"e_1_2_4_12_2","first-page":"167","article-title":"Distribution patterns of Tunga penetrans within a community in Trinidad, West Indies","volume":"97","author":"Chadee DD.","year":"1994","journal-title":"J Trop Med Hyg"},{"key":"e_1_2_4_13_2","doi-asserted-by":"publisher","DOI":"10.3201\/eid0908.030041"},{"key":"e_1_2_4_14_2","doi-asserted-by":"publisher","DOI":"10.1080\/00034983.1982.11687508"},{"key":"e_1_2_4_15_2","doi-asserted-by":"crossref","first-page":"471","DOI":"10.1080\/00034983.1981.11687469","article-title":"Prevalence of tungiasis in Oto\u2010Ijanikin village, Badagry, Lagos State, Nigeria","volume":"75","author":"Ade\u2010Serrano MA","year":"1981","journal-title":"Ann Trop Med Parasitol"},{"key":"e_1_2_4_16_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00436-003-0877-7"},{"key":"e_1_2_4_17_2","doi-asserted-by":"publisher","DOI":"10.1046\/j.1365-4362.1997.d01-503.x"},{"key":"e_1_2_4_18_2","doi-asserted-by":"publisher","DOI":"10.1177\/003693309403900508"},{"key":"e_1_2_4_19_2","doi-asserted-by":"publisher","DOI":"10.1046\/j.1468-3083.2003.00577_16.x"},{"key":"e_1_2_4_20_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2133.1995.tb02505.x"},{"key":"e_1_2_4_21_2","doi-asserted-by":"publisher","DOI":"10.5694\/j.1326-5377.1994.tb127363.x"},{"key":"e_1_2_4_22_2","doi-asserted-by":"publisher","DOI":"10.1093\/clinids\/20.3.542"},{"key":"e_1_2_4_23_2","doi-asserted-by":"publisher","DOI":"10.1067\/mpd.2001.118530"},{"key":"e_1_2_4_24_2","doi-asserted-by":"crossref","first-page":"714","DOI":"10.5858\/2002-126-0714-THFOTP","article-title":"Typical histologic features of Tunga penetrans in skin biopsies","volume":"126","author":"Smith MD","year":"2002","journal-title":"Arch Pathol Laboratory Med"},{"key":"e_1_2_4_25_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jaad.2005.01.108"},{"key":"e_1_2_4_26_2","doi-asserted-by":"publisher","DOI":"10.5694\/j.1326-5377.2005.tb06893.x"},{"key":"e_1_2_4_27_2","doi-asserted-by":"publisher","DOI":"10.1051\/parasite\/200411151"},{"key":"e_1_2_4_28_2","doi-asserted-by":"publisher","DOI":"10.1007\/BF00596429"},{"key":"e_1_2_4_29_2","first-page":"206","article-title":"[About the copulation of fleas]","volume":"67","author":"Geigy R","year":"1960","journal-title":"Revues Suisse de Zoologie"},{"key":"e_1_2_4_30_2","doi-asserted-by":"publisher","DOI":"10.1590\/S0036-46652005000600001"},{"key":"e_1_2_4_31_2","doi-asserted-by":"crossref","first-page":"87","DOI":"10.1007\/s00436-002-0817-y","article-title":"Investigations on the biology, epidemiology, pathology and control of Tunga penetrans in Brazil. 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