Cutaneous Larva Migrans after Trip to the Philippines / 대한피부과학회지

No abstract available.

Atypical Presentation of Cutaneous Larva Migrans: A Case Report & Literature Review

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.

Larva migrans cutánea autóctona en Chile: A propósito de un caso / Autochthonous cutaneous larva migrans in Chile: A case report

Introducción: La larva migrans cutánea (LMC) es la dermatitis tropical más frecuente y corresponde a una zoonosis causada por nemátodos, cuyo hospedero son los gatos y los perros. El hombre actúa como hospedero accidental. Clínicamente se presenta como una placa lineal eritematosa pruriginosa, de crecimiento lento en la planta del pie. El diagnóstico es clínico, basado en la morfología de la lesión, asociado al antecedente de viaje a zonas endémicas. Objetivo: Presentar un caso de LMC autóctona en Chile. Caso clínico: Niño de 3 años sano, con lesión lineal en la planta del pie, clínicamente compatible con LMC. Se indica tratamiento con ivermectina, evolucionando con resolución completa de la lesión. El paciente no presentaba antecedentes de viajes fuera de Chile, pero sí de contacto con perros. Conclusión: La LMC es descrita clásicamente como una dermatitis del viajero. Se presenta este caso debido a que hasta la fecha no se registran reportes previos de LMC en niños adquirida en Chile.

Introduction: Cutaneous larva migrans (CLM) is the most common tropical dermatitis. It is caused by nematodes hosted by cats and dogs. Humans act as an accidental reservoir. Clinically, it manifests as a slow-growing, elevated linear, erythematous and pruritic plaque, on the sole of the foot. Diagnosis is clinical, based on the morphology of the lesion associated with recent travel to endemic areas. Objective: To present an autochthonous case of CLM in Chile. Clinical case: A 3-year-old boy, presented with a linear lesion on his foot, clinically compatible with CLM. He received a single dose of ivermectin and had complete resolution of the lesion. The patient had no history of travel outside of Chile, but had contact with dogs. Conclusion: CLM is classically described as travellers dermatitis. We present this case, because there are no previous reports of CLM acquired in Chile by children.

Larva migrans cutánea tras un viaje al Caribe / Cutaneous larva migrans after a trip to the Caribean

Cutaneous larva migrans is a parasitic disease caused by Ancylostoma braziliense and Ancylostoma caninum larvae, which is transmitted by contact with sand infested with these parasites. Dogs and cats are the definitive hosts. This parasitic disease is endemic in the Caribbean, Africa, Australia, and Asia. We present the case of a 27-year-old woman, who developed skin lesions compatible with cutaneous larva migrans on her right foot after returning from beach vacations in the Mexican Caribbean. After clinical diagnosis, oral ivermectin was administered, with good clinical response.

La larva migrans cutánea es una parasitosis ocasionada por las larvas de Ancylostoma braziliense y Ancylostoma caninum, cuyo vehículo es la arena de playas infestadas. Los perros y gatos son los hospederos definitivos. Esta parasitosis es endémica en las costas del Caribe, África, Australia y Asia. Presentamos el caso clínico de una mujer de 27 años de edad, quien tras haber realizado un viaje al Caribe mexicano y haber estado en contacto con arena de playa, presentó unas lesiones en el pie derecho compatibles con larva migrans cutánea. El diagnóstico fue clínico. Recibió tratamiento con ivermectina oral, con buena respuesta.

Larva migrans cutánea en un paciente viajero portador de dishidrosis: a propósito de un caso clínico / Cutaneous larva migrans in a traveling patient with dyshidrosis: a case report

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.

Presença de Toxocara spp. e ancilostomídeos em áreas de peridomicílios de uma comunidade pesqueira no Centro-Oeste do Brasil / Presence of Toxocara spp. and hookworms in peridomiciliary areas of a fishing community in the Mid-west region of Brazil

O objetivo do estudo foi verificar a contaminação do solo de peridomicílios de uma comunidade pesqueira localizadano município de Bonito, Mato Grosso do Sul, Brasil, onde é frequente a ocorrência de casos de Larva migrans cutânea.Utilizando-se das técnicas de centrifugo-flutuação, Baermann-Moraes e centrifugo- sedimentação, amostras de solo efezes de cães foram analisadas e os resultados evidenciaram altos índices de contaminação por ovos de Toxocara spp.,Ancilostomídeos e larvas de nematoides. Estes achados podem estar associados aos casos de Larvas migrans cutânea eàs elevadas taxas de eosinofilia em escolares daquela comunidade.

The aim of this study was to investigate soil contamination in peridomiciliary areas from a fishing community in themunicipality of Bonito, Mato Grosso do Sul state, Brazil, where is often found the occurrence of cases of cutaneous larvamigrans. Using the techniques of zinc sulphate centrifugal flotation, Baermann-Moraes and centrifugal sedimentation,soil samples and feces of dogs were analyzed and the results showed high levels of contamination by Toxocara spp.,hookworm and larvae of nematodes. These findings may be associated with cases of cutaneous larva migrans and highrates of eosinophilia in school children of that community.

Larva migrans cutánea a propósito de un caso / Cutaneous larva migrans taking into consideration a case

Introducción: la Larva migrans cutánea (LMC) es una enfermedad muy común en regiones tropicales, por lo que Cuba no está exenta de este tipo de infestación. Objetivo: relatar un caso de Larva migrans cutánea en un recién nacido de 18 días, visto durante estancia en Mozambique. Presentación del Caso: se presenta el caso de un recién nacido de 18 días, quien ingresa en el Servicio Infeccioso del Hospital Central de Beira, Provincia de Mozambique, con el posible diagnóstico de Meningoencefalitis y al que se le encuentra al examen físico lesiones eritematosas de trayecto lineal tortuosas a nivel de la región pre auricular, tórax y región glútea derecha, después de descartar otras entidades nosológicas. Conclusiones: se trata de una Larva migrans cutánea para lo que se impone tratamiento con cloruro de etilo y tiabendazol local. Presentó una evolución satisfactoria.

Introduction: cutaneous larva migrans is a very common disease in tropical regions that's why Cuba is included in the coontries in which this illness is present. Objective: talk about a cutaneous larva migrans case in an 18 days newborn, seen during the stay in Mozambique. Case Presentation: there is the case of a new born of 18 days who is addmited in the contagioos or infective Service of Beira Central Hospital, Mozambike province, with the possible diagnosis of the Meningoencephalitis, and within physical exam, physical lessions are found of the rind of erythematous of a acute lineal way at the level of the pre auricular region, thorax and de right buttock region. After discoonting others nosological entities. Conclussions: we are in the pressence of cutaneous Larva migrans and the local tiabendazol with cloruro of etilo tretment is impossed finding a notorioos satisfactory evolution after this.

A rare case of cutaneous larva migrans due to Gnathostoma sp.

A 28-year-old lady presented with recurrent erythematous skin lesions in different parts of the body for 3 months. There were several episodes of worm coming out of the lesions. Examination of the worms in the parasitology laboratory revealed it to be a larva of Gnathostoma sp. She was advised treatment with Albendazole for 21 days, and there was no recurrence of lesions.

Occurrence of Ancylostoma in dogs, cats and public places from Andradina city, São Paulo state, Brazil / Ocorrência de Ancylostoma em cães, gatos e locais públicos da cidade de Andradina, São Paulo, Brasil

The aim of this study was to determine the frequency and intensity of Ancylostoma spp. in 33 dogs and 52 cats by means of coproparasitological examinations and parasitological necropsy, and assess the presence of contaminated feces with eggs of that parasite in public places of Andradina Municipality, São Paulo State, Brazil. Willis-Mollay and Sedimentation methods indicated Ancylostoma spp. eggs in 87.8 percent (29/33) dogs and 94.2 percent (49/52) cats. The species A. caninum and A. braziliense were found in 63.6 percent (21/33) and 30.3 percent (10/33) of dogs, respectively. Considering cats, 67.3 percent (35/52) were parasitized by A. braziliense, 21.1 percent (11/52) by A. caninum, and 9.6 percent (5/52) by A. tubaeforme. Forty-two canine fecal samples were collected from public environments, including 23 squares/gardens and 19 streets/sidewalks. Positive samples for Ancylostoma spp. accounted for 64.3 percent (27/42); squares/gardens had 60.9 percent (14/23) positive samples, and streets and sidewalks, 68.4 percent (13/19). No association was observed between the number of Ancylostoma spp parasites and age, sex and breed of the animals and also the ratio of EPG counts and the parasitic intensity observed at necropsy (p > 0.05). Based on the high occurrence of hookworm in dogs and cats in this study, the treatment with anti helminthics are needed even in those animals with negative stool tests, besides adopting control of the number of animals in public places, in order to decrease the likelihood of environmental contamination, since this parasite represents a potential hazard to human and animal health.

O objetivo deste estudo foi determinar a freqüência e intensidade parasitária de Ancylostoma spp. em 33 cães e 52 gatos por meio de exames coproparasitológicos e pela necropsia parasitológica, bem como avaliar a presença de fezes contaminadas com ovos deste parasito em locais públicos do município de Andradina/SP. Por meio das técnicas de Willis-Mollay e Sedimentação, ovos de Ancylostoma spp. foram observados em 87,9 por cento (29/33) e 94,2 por cento (49/52) dos cães e gatos, respectivamente. As espécies constatadas nos cães foram A. caninum em 63,6 por cento (21/33) e A. braziliense em 30,3 por cento (10/33). Dos gatos, 67,3 por cento (35/52) estavam parasitados por A. braziliense, 21,1 por cento (11/52) por A. caninum e 9,6 por cento (5/52) por A. tubaeforme. Foram coletadas 42 amostras fecais caninas do ambiente público sendo, 23 de praças/jardins e 19 de ruas/calçadas. Positividade para Ancylostoma spp. foi observada em 64,3 por cento (27/42) destas fezes sendo 60,9 por cento (14/23) provenientes de praças/jardins e 68,4 por cento (13/19) de ruas e calçadas. Não foi observada associação entre a presença do parasito e a idade, sexo e raça dos animais, bem como entre o número de parasitos observado na necropsia e o OPG (p > 0.05). Baseado na alta ocorrência de ancilostomídeos em cães e gatos neste estudo, o tratamento com anti-helmínticos faz-se necessário, mesmo nos animais com exames de fezes negativos, além da necessidade de adoção de controle do número de animais em locais públicos, a fim de diminuir a probabilidade de contaminação do meio ambiente, uma vez que este parasito representa um perigo potencial à saúde humana e animal.

A case report of cutaneous larva migrans in Argentina

Cutaneous larva migrans (CLM) represents the most common tropically acquired dermatosis. CLM is caused by infection with hookworm larvae in tropical and sub-tropical areas, and people who have a history of foreign travel and of walking barefoot on sandy soil or beaches are at a high risk of getting infected with it. The diagnosis is usually made on the basis of the typical appearance of the lesion, intense itching and history of foreign travel. CLM is a common parasitic skin disease that can be easily prevented by wearing 'protective' footwear. A case of CLM is described in this article.

A Case of Cutaneous Larva Migrans on the Neck without a History of Travel to an Endemic Area / 대한피부과학회지

Cutaneous larva migrans is a characteristic serpiginous creeping eruption that is caused by the migration of the larval form of neomatodes in the skin. It is caused by hookworm larvae, which are present in the feces of infected dogs and cats. The skin lesions progressively evolve at a rate of 2~3 cm daily. Most cases have a travel history to tropical and subtropical countries, but our patient had no travel history to an endemic area and no contact history with the feces of dogs and cats. We report herein on a case of cutaneous larva migrans on the neck and the patient did not have a travel history to an endemic area and the lesions showed relatively rapid progression.

A Case of Cutaneous Larva Migrans / 대한피부과학회지

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.

Three clinical cases of cutaneous larva migrans

Three cases of cutaneous larva migrans (CLM) were diagnosed in a returnee from a trip to Thailand and in 2 domestic farmers during July and September, 2003. The linear and serpiginous skin lesions on the lower extremities were presented in all 3 cases. Routine laboratory findings were normal. In the imported case, a 650 x 30 micrometer sized filariform nematode larva, presumably a species of hookworm, was detected in the lesion. All cases were treated with 400 mg albendazole once daily for 3-5 days, and their skin lesions gradually improved. In the present study, a causative agent of CLM was isolated for the first time in the Republic of Korea. Moreover, we speculate that CLM is prevalent in farmers who are in frequent contact with soil in the Republic of Korea.

Four Cases of Cutaneous Larva Migrans after Travel in the Philippines / 대한피부과학회지

Cutaneous larva migrans (CLM) is a rare serpiginous creeping eruption caused by accidental penetration and migration in the skin with a larval form of nematodes. It is caused by hookworm larvae, which are present in the feces of infected dogs and cats. Most cases of CLM in Korea have been shown to involve travelers returning from tropical areas or hot climates. We experienced four patients who had pruritic serpiginous linear eruptions on their skin after traveling to the endemic areas (Boracay island in Philippine). After treatment with albendazole, the skin lesions resolved with post-inflammatory hyperpigmentation. We report herein these four cases, together with a literature review of CLM cases in Korea.

Two cases of Cutaneous Larva Migrans / 대한피부과학회지

Cutaneous larva migrans(CLM) is a creeping cutaneous eruption that results from skin invasion by the larval form of nematodes. We experienced two patients who had typical clinical findings of CLM. One patient had a history of contact with possibly contaminated fertilizer by the larva of nematotes. The other had a history of travelling to the endemic tropical areas. We report herein two cases of CLM with the literature review of the previous CLM cases in Korea.

A serologically diagnosed human case of cutaneous larva migrans caused by Ancylostoma caninum

A 15-year-old boy, who had recently arrived back from a trip to Cambodia for a missionary camp, presented with several serpiginous thread-like skin lesions that began as small papules on the left upper extremities 2 weeks before his visit to Hospital. The skin lesions were pruritic and erythematous, and had migrated to the chest and abdomen. The histopathological findings showed only lymphocytic and eosinophilic infiltrations in the dermis of the biopsied skin lesion. The patient's serum reacted strongly to the Ancylostoma caninum antigen by an ELISA method. Therefore, he was diagnosed with cutaneous larva migrans by A. caninum. After the oral administration of albendazole and ivermectin, the skin lesions resolved without recurrence. This is the first reported case of a cutaneous larva migrans caused by Ancylostoma canimum diagnosed serologically using ELISA in Korea.

A Case of Cutaneous Larva Migrans / 대한피부과학회지

A 30-year-old man presented with several intensely prurutic erythematous serpiginous thread-like skin lesions which began as a small papule on the upper back 2 weeks prior to his visit and was migrating to the lower back and buttock area. The laboratory examination showed non-specific findings. Histopathologic examination revealed a pustular burrow containing numerous eosinophils in the epidermis. In the dermis, there was a diffuse and occasionally dense perivascular inflammatory cell inflammation consisting of eosinophils and some lymphocytes. The patient was treated with oral albendazole, antihistamine and topical corticosteroid for 2 weeks without recurrence for 6 months up to now. Multiple histologic sections were made without success in demonstrating parasitic tissue in the epidermis, however, the clinical and histopathologic features were consistent with cutaneous larva migrans.

Sparganosis Mimicking Cutaneous Larva Migrans

A 53-year-old man had skin-colored linear serpiginous plaque within brownish patch on his left thigh for one year. He habitually drank natural spring water for 3 years. We diagnosed this case as sparganosis infiltrated within dermis by histologic and parasitologic diagnosis. The skin lesion mimicked the cutaneous larva migrans by showing dermal migration of sparganum to pro-duce itchy linear serpiginous plaque. We report an interesting case of sparganosis mimicking cutaneous larva migrans.

A Case of Cutaneous Larva Migrans / 대한피부과학회지

A 34-year-old woman presented with several intensely pruritic erythematous serpiginous thread-like skin lesions which began as a small papule on the epigastrium 4 months prior to her visit and was migrating to the left chest area. The laboratory examination showed eosinophilia and the total serum IgE level was slightly increased. Histopathologic examination revealed a pustular burrow in the epidermis with a larva-like cystic lesion apart from the burrow in the epidermis. The patient was treated with topical 10 % albendazole cream 3 times daily for 1 week without recurrence for 22 months up to now. We thought this was a rare case which was confirmed by a skin biopsy showing larva in the epidermis.

Two Cases of Cutaneous Larva Migrans

Cutaneous larva migrans(CLM) is a ubiquitous self-limiting skin eruption which has intensely pruritic, serpiginous, raised, sharply demarcated, red lesions. It is most frequently caused by larvae of dog and cat hookworms. We report two typical cases of cutaneous larva migrans that appeared as pruritic exanthems in two people after they had travelled in Southeast Asia. It is suggested one should consider cutaneous larva migrans in the differential diagnoses of erythematous pruritic lesions.