| tungiasis in the united states: a travel souvenir. | tungiasis is a cutaneous infestation caused by the burrowing flea, tunga penetrans. this infection typically results in the development of one or more wart-like fibrous papulonodules. the causative flea is endogenous to central and south america, sub-sarahan africa and portions of india; consequently, tungiasis is rarely reported in north america. however, because of increasing air travel to and from endemic areas due to business and pleasure, it is imperative that this entity remain in the diff ... | 2008 | 19265616 |