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'''Parasite Afrique, also known as ''puce chique'' or simply ''paras'', is an egg-laying flea that is easily contracted on the foot soles, feet or lower legs from stepping barefoot on beaches in wet areas where livestock roam. Most Malagasy people living in affected areas, such as [[Tamatave]], have experienced the problem. Depending on the stage of infection, treatment includes surgically removing the parasites combined with antibiotics.'''
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Sand fleas enter below the skin's surface of foot soles and/or under a toe nail where they remain to lay their eggs.