ABSTRACT
@#Infection of cutaneous larva migrans is usually acquired in the tropical region and mainly affects children. It is generally diagnosed with symptoms of severe itchiness and skin lesion that appears as a migrating erythematous linear lesion. It often occurs with a history of skin exposure to soil. Atypical presentation of the infection causes difficulty in diagnosis and delays treatment for the patient. Once diagnosed, cutaneous larva migrans is treated easily with helminth medications such as albendazole. Recognition of the skin lesion of cutaneous larva migrans in the atypical presentation of the infection for prompt treatment will comfort and prevent secondary infection complications. This case describes a presentation of bullous eruption in a child infected with cutaneous larva migrans.
ABSTRACT
Cutaneous larva migrans, also known as “migrant linear epidermitis”, “beach worm”, “migranthelminthiasis”, “dermatitis serpiginosus” or “creeping eruption”. It is a zoonosis which caused byaccidental percutaneous inoculation of helminth larvae, usually parasites of the small intestines of catsand dogs. It typically presents as an itchy, erythematous, serpiginous, cutaneous eruption. We describea case of disseminated and extensive infection of cutaneous larva migrans in a 21-year-old traveler,leading a delay in diagnosis and treatment.
ABSTRACT
Aims: To describe a case of Cutaneous Larvae Migrans (CLM) with associated fungal and bacterial superinfection seen in the Tuberculosis and Infectious Disease Unit of University of Uyo Teaching Hospital. Presentation of Case: A 31-year old male reported to the Tuberculosis and Infectious Disease Unit with a history of creeping eruptions, itching and right foot swelling following gardening. Investigations revealed associated bacterial and fungal super infection. Symptoms resolved after treatment with Albendazole, antibiotics and antifungals. Discussion: Although CLM is self-limiting, non- recognition and home treatment using local herbal remedies may lead to associated superinfection, mask the presentation and lead to delayed diagnosis. Conclusion: CLM is not frequently reported in the tropics and primary health care workers are likely unfamiliar with its presentation, which could delay the treatment. Associated use of local herbal remedies lead to superinfection as seen in the index case may lead to missed and delayed diagnosis. This calls for increased awareness of the condition and its treatment for primary care workers.
ABSTRACT
Larva migrans cutánea es el resultado de una infección por nematodos y muestra una erupción serpiginosa característica. Con el aumento de los viajes a zonas tropicales, muchos pacientes pueden volver con ésta infección, que es a menudo, mal diagnosticada o tratada incorrectamente. Esta enfermedad cutánea parasitaria es causada por la migración de larvas provenientes de animales en la epidermis humana.
Cutaneous larva migrans is a result of a nematode infection and shows a characteristic creeping eruption. As travel to the tropics zone increases, many patients may be returning with this infection, which is often misdiagnosed or treated incorrectly. This parasitic skin disease is caused by the migration of animal hookworm larvae in the human epidermis.
Subject(s)
Humans , Male , Adult , Eczema, Dyshidrotic/complications , Larva Migrans/complications , Larva Migrans/diagnosis , Diagnosis, Differential , Larva Migrans/therapy , PrognosisABSTRACT
Cutaneous larva migrans (CLM) is an uncommon cutaneous creeping eruption caused by the invasion and migration of nematode larvae into the skin. Burrowing larvae produce intensely pruritic, serpiginous, raised erythematous skin lesions. Most cases of CLM reported in Korea involved travelers returning from endemic areas with tropical or subtropical climates. We report herein a case of CLM with no history of travelling to endemic area and briefly review the relevant literature.
Subject(s)
Climate , Korea , Larva , Larva Migrans , SkinABSTRACT
Creeping eruption is a syndrome characterized by the penetration in human skin of larvae from hookworms of various animals, mainly cats and dogs. A 26-year-old male presents with pruritic erythematous serpiginous linear skin lesion on the left lower leg for 2 weeks. The skin lesion was developed after walking in bare feet along the beach of an island in Philippines. Histopathologic finding showed a burrow containing numerous eosinophils and a few mononuclear cells in the epidermis. No parasite was found in multiple histologic section.
Subject(s)
Adult , Animals , Cats , Dogs , Humans , Male , Ancylostomatoidea , Eosinophils , Epidermis , Foot , Larva , Larva Migrans , Leg , Parasites , Philippines , Skin , WalkingABSTRACT
Creeping eruption is a rare cutaneous serpiginous eruption caused by fhe accidental invasion of the skin by parasites. The patient was a 26 year-old female presented with a severe pruritic erythematous serpiginous linear skin lesion on the dorsal surface of left foot for 10 days. Histopathologic finding revealed a typical burrow containing inflammatory cells and necrotic epithelial cells in the epidermis and diffuse patch infiltration of mononuclear cells and eosinophils in the dermis. Laboratory examination shows eosinophilia. The patient was treated with oral flubendazole 500mg per day for 10 days. The skin lesion disappeared without. recurrence. We described a typical case of creeping eruption never reported in Korea.
Subject(s)
Adult , Female , Humans , Dermis , Eosinophilia , Eosinophils , Epidermis , Epithelial Cells , Foot , Korea , Larva Migrans , Parasites , Recurrence , SkinABSTRACT
A 58-year-old male presented with a pruritic, erythematous hread-like eruption on the right chest, which appeared as a small papule since 6 months prior to his visit. Histopathologic examination showed a burrow containing numerous eosinophiles and a few mononuclear cells in the epidermis. There was focal spongiosis unde the burrow. In the dermis, there was a diffuse and occasionally dense perivascular and periadnx 1 inflammatory cell infiltration consisting of eosinophiles and some lymphocytes. Multiple histologic sections were made without success in deizo strating parasitic tissue in the epidermis, however, the clinical and histopathologic features we onsistent with cutaneous larva migrans.