ATLASSKIN ECTOPARASITES
      INSECTA Order: Aphaniptera

      TUNGA PENETRANS

      By the Editor: Pietro Caramello, MD.

      tung1-ic

      T.penetrans: adults (male and female) of T.penetrans measure
      about 1 mm. in lenght and live in the sand.
      After fertilization the female holds on the human skin
      and invades the subcutaneous tissues forming a crypt.
      (Adult male)


      By the Editor: Pietro Caramello, MD.

      tung2-ic

      T.penetrans: after penetration, the female increases in size to reach
      the diameter of 0.5-1 cm., and contains a hundred of eggs.
      (Gravid female) 

      By doctor Juan Cabezos

      tung2-es-ic

      T.penetrans: adult female.


      By the Editor: Pietro Caramello, MD.

      tung3-ic

      T.penetrans: eggs measure about 650 µ in lenght.
      (Egg: wet mount preparation)


      By M.Scaglia,MD, P.Caramello,MD.

      tung4-ic

      T.penetrans: the lesion (s), usually located on the toes or under the feet,
      are painful, indurated and tender, with a black central dot.


      By the Editor: Pietro Caramello, MD.

      tung5-ic

      T.penetrans: the treatment consists on the exeresis of the entire intact insect.
      The breaking of the Tunga may cause inflammation and possible infection.
      (The cephalic extremity with the first pair of legs of a gravid female
      extracted from the skin).


      By A.M.Pisacane,MD. By A.M.Pisacane,MD.
      tung6-ic tung7-ic

      T.penetrans: detail of the cuticle of the insect after surgical exeresis (H.E. 250 X). 


      By M.Lisci MD and G.Cera MD. By M.Lisci MD and G.Cera MD. By M.Lisci MD and G.Cera MD. By M.Lisci MD and G.Cera MD.
      Tunga01 Tunga02 Tunga03 Tunga04

       T.penetrans: sections of the insect after surgical exeresis.
       

      Courtesy of M.Lisci MD and G.Cera MD:
      Pathology Unit, Ospedale di Mondově A.S.L. CN1 Mondově, Italy.