THE ANSWER
Yes, a parasite that enters people through bare feet, called Strongyloides, is in the U.S. Most people infected with the parasite don't experience any symptoms, but infection can be deadly for others, primarily people with suppressed immune systems.
Pinworms are spread when an infected person, most often a child, has scratched his/her bare anal area and the eggs get under his/her fingernails. Pinworms can then be spread in the following ways: By an infected child not washing hands after using the bathroom.
Nail fungus is a common infection of the nail. It begins as a white or yellow-brown spot under the tip of your fingernail or toenail. As the fungal infection goes deeper, the nail may discolor, thicken and crumble at the edge. Nail fungus can affect several nails.
Parasites - Strongyloides
It is a parasitic disease caused by nematodes, or roundworms, in the genus Strongyloides. The parasites enter the body through exposed skin, such as bare feet. Strongyloides is most common in tropical or subtropical climates.
Itching and a localized rash are often the first signs of infection. These symptoms occur when the larvae penetrate the skin.
When the eggs hatch, they release young hookworms, or larvae. If you walk barefoot over this soil, the young worms can enter your body through the skin on your feet and cause an infection.
In the case of toenails, these organisms are often fungi, like yeasts and molds. These invaders can live in the layer of dead skin cells around and underneath your toenails. Toenail fungus is contagious and you can get it from being exposed to others' infections.
You can use a loofah, sponge, or washcloth to really clean around the toenails. Try a foot soak. If you don't take a shower every day, consider soaking your feet in a tub of lukewarm water and soap. This can help break up or dislodge dirt underneath toenails.
The ingrown portion of the nail, which we call the nail spicule, is usually located quite deep down the side of the nail – often much deeper beneath the swollen skin than you can visibly see. Waiting for your nail to grow out then means driving this nail spicule deeper into an already tender toe.
Onychomycosis or tinea unguium is usually caused by a buildup of dermatophyte fungi. These are parasitic fungi infecting the skin and nails, which need to reside in human or animal bodies in order to survive. Fungal infections of the nail are caused when dermatophytes burrow under the nails to breed.
Along with dead skin cells and dirt, nasty germs like Klebsiella (bacteria that cause pneumonia and urinary tract infections) and Candida parapsilosis (a yeast that causes wound and blood stream infections) can be found under fingernails.
Ringworm - Tinea unguium or onchomycosis is a chronic fungal infection of the nails. It is normally caused by the dermatophyte fungus. The nails grow very thick and turn white or yellow. Treatment is by antifungal drugs, taken as tablets.
Gas or bloating. Dysentery (loose stools containing blood and mucus) Rash or itching around the rectum or vulva. Stomach pain or tenderness.
However, parasitic infections still occur in the United States, and in some cases, affect millions of people. Often they can go unnoticed, with few symptoms. But many times these infections cause serious illnesses, including seizures, blindness, heart failure, and even death.
Answer by dermatologist Corey Georgesen, MD:
Toenail fungus doesn't usually spread to inside your body, like the stomach. The fungi require keratin, found in your hair, skin and nails. They survive best on the skin.
Thick toenails come from a buildup of the cells that make up your toenails. Three possible causes are increased age, nail fungus, and nail psoriasis (an autoimmune disease).
While there may be less potential for pathogens to travel from the toenails to other body parts, it is still important to practice proper hygiene and regularly clean them to prevent infections from occurring.
Bacterial infections of the nails are caused by gram negative bacteria, usually Pseudomonas aeruginosa (recognizable because of green or black coloration of the nails) but also Klebsiella spp. and gram positive bacteria like Staphylococcus aureus.
If your toenail turns black, it's most likely a bruise under the nail, technically called a subungual hematoma. You can get it from stubbing a toe or from footwear that cram your feet into the front of the shoe.
What is black toenail fungus? If you have a dark, thick toenail, it could be toenail fungus, which is usually caused by a type of fungus called dermatophytes. It affects the toenail and the area beneath the nail and causes color changes, thickening, and abnormally shaped nails.
Anthelminthic medications (drugs that rid the body of parasitic worms), such as albendazole and mebendazole, are the drugs of choice for treatment of hookworm infections. Infections are generally treated for 1-3 days. The recommended medications are effective and appear to have few side effects.
Adult worms may live up to 17 years in the human body and can continue to make new microfilariae for much of this time.
TREATMENT. The time honoured treatment for cutaneous larva migrans is by freezing of the area with ethyl chloride or similar refrigerant sprays. Diethylcarbamazine or thiabendazole can be used. Thiabendazole can also be used topically.