'''Parasite Afrique, also known as ''puce chique'' or simply ''paras'' is an egg-laying flea that is easily contracted on the foot soles and 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 include surgically removing the parasites combined with antibiotics.'''
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Depending on Sand fleas enter below the skin's surface of foot soles and/or under a toe nail and remain to lay their eggs. Symptom usually occurs after a couple of days as one will feel an itching. The affectedareas appear as light dot with a black middle. The skin should then be opened, usually with a needle, to remove the knot containing the eggs, a procedure preferably done by a doctor. The knot may be the stage size of a small lentil. If the infectionhas occurred below the nail, treatment include surgically removing the nail must first be removed. To prevent these parasites combined with antibioticsto make themselves at home below your skin, be careful while on "dirty" beaches where animals such as pigs and zebu roam.