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
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.