Tungiasis — DTM&H MCQ
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Correct answer: D — Use sterile flea extraction with wound care and reinfestation prevention
The best answer is “Use sterile flea extraction with wound care and reinfestation prevention”. Tungiasis care combines removal by a sterile technique, management of bacterial complications, tetanus assessment and prevention through shoes and improved floors or animal/environmental control. Praziquantel targets trematodes, household permethrin protocols fit scabies rather than embedded sand fleas, fasciotomy is inappropriate without compartment or necrotising disease, and inaction risks secondary infection, deformation and impaired mobility.
Reference: WHO, Tungiasis fact sheet: https://www.who.int/news-room/fact-sheets/detail/tungiasis