{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2024,9,2]],"date-time":"2024-09-02T17:10:29Z","timestamp":1725297029335},"reference-count":26,"publisher":"American Society of Tropical Medicine and Hygiene","issue":"6","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2010,6]]},"abstract":"<jats:p>Tungiasis is a neglected ectoparasitism of impoverished areas in South America and sub-Saharan Africa. The sand flea <jats:italic>Tunga<\/jats:italic> spp. preferably infests the soles and the periungueal and interdigital regions of the feet. Ectopic tungiasis is rare, even in highly endemic areas. We describe a case of an indigenous patient in Peru who presented with a nodular lesion in the extensor aspect of the knee and whose biopsy was compatible with <jats:italic>Tunga<\/jats:italic> spp. This is the first documented case of knee tungiasis in an endemic country. The historical, clinical, histological, and current epidemiological aspects of tungiasis in Peru are discussed here.<\/jats:p>","DOI":"10.4269\/ajtmh.2010.10-0031","type":"journal-article","created":{"date-parts":[[2010,6,2]],"date-time":"2010-06-02T19:04:52Z","timestamp":1275505492000},"page":"1076-1078","source":"Crossref","is-referenced-by-count":4,"title":["An Ectopic Case of Tunga spp. Infection in Peru"],"prefix":"10.4269","volume":"82","author":[{"given":"Vicente","family":"Maco","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Vicente P.","family":"Maco","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Eduardo","family":"Gotuzzo","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"2795","reference":[{"key":"R1","series-title":"Parasite","first-page":"85","article-title":"Presence of Tunga trimamillata (Insecta, Siphonaptera) in Peru","volume":"13","author":"Fioravanti","year":"2006"},{"key":"R2","series-title":"Med Vet Entomol","first-page":"172","article-title":"Sand flea (Tunga spp.) infections in humans and domestic animals: state of the art","volume":"23","author":"Pampiglione","year":"2009"},{"key":"R3","series-title":"La Medicina Precolombina","first-page":"89","author":"Guerra","year":"1990"},{"key":"R4","series-title":"J Am Med Assoc","first-page":"1386","article-title":"Tungiasis in travelers from tropical Africa","volume":"236","author":"Goldman","year":"1976"},{"key":"R5","series-title":"J Am Acad Dermatol","first-page":"941","article-title":"Tungiasis: report of one case and review of the 14 reported cases in the United States","volume":"5","author":"Sanusi","year":"1989"},{"key":"R6","series-title":"Clin Infect Dis","first-page":"65","article-title":"A painful, draining black lesion on the right heel","volume":"43","author":"Van Buskirk","year":"2006"},{"key":"R7","series-title":"Dermatol Online J","first-page":"3","article-title":"Tungiasis in the United States: a travel souvenir","volume":"14","author":"Hager","year":"2008"},{"key":"R8","series-title":"Trop Med Int Health","first-page":"267","article-title":"Tungiasis: a neglected health problem of poor communities","volume":"6","author":"Heukelbach","year":"2001"},{"key":"R9","series-title":"Am J Trop Med Hyg","first-page":"214","article-title":"Ectopic localization of tungiasis","volume":"67","author":"Heukelbach","year":"2002"},{"key":"R10","series-title":"Rev Inst Med Trop Sao Paulo","first-page":"307","article-title":"Tungiasis","volume":"47","author":"Heukelbach","year":"2005"},{"key":"R11","series-title":"Parasitol Res","first-page":"87","article-title":"Investigation on the biology, epidemiology, pathology and control of Tunga penetrans in Brazil: I. 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