Recognition and management of common XXXX in travelers.

@entity1 @entity3001 @entity66 @entity548 @entity4057 @entity15903 @entity41700 @entity281 @entity315 @entity15798 @entity238
This review article summarizes the @entity66 likely to be seen by a Western dermatologist. The article aims to cover both @entity66 and those likely to present in the returning traveler. @entity15903 is due to the gravid sand flea (Tunga penetrans) embedding into the stratum corneum of a @entity1 host. As the flea is a ground dweller, lesions are usually present on the feet and are classically periungual. The sand flea is eventually shed spontaneously but to reduce the infection risk, early surgical removal is recommended. Infestation by the Diptera species of @entity238 causes @entity4057 , which may be primary, secondary, or accidental. The botfly ( @entity41700 ) is one of the causes of primary @entity4057 covered in this article. Traditionally, botfly larvae are forced to partially emerge by occluding the breathing apparatus, following which manual extraction can occur. Alternatively, the larvae can be surgically removed. The common bed bug (Cimex lectularius) has experienced a resurgence over the past 10 years. Bites are typically arranged in clusters or a linear fashion and vary from urticated wheals to @entity548 . Treatment is symptomatic with antihistamines and topical corticosteroids. In addition, bed bugs need to be eradicated from furniture and soft furnishings. Ticks are part of the Arachnid class of joint-legged animals and can transmit a variety of @entity281 . This article briefly discusses Mediterranean spotted fever, @entity15798 , and @entity3001 as well as describing tick avoidance measures. Scabies (Sarcoptes scabiei var hominis) is highly contagious and widely distributed around the world. It is common in the returning traveler and can require a high index of suspicion to diagnose. The treatment of choice in the US, UK, and Australia is @entity315 5% dermal cream, applied on two occasions, 1 week apart.
