Disseminated cutaneous larva migrans in a 7-year-old patient

Introduction: Cutaneous larva migrans is a cutaneous infestation caused by zoonotic nematode larvae commonly due to hookworms such as the Ancylostoma braziliense. Case report: Herein we report a case of a 7-year-old child to the Emergency Department complaining of erythematous papular itching lesions on his right elbow, wrist and knee. He had no previous history of contact with sand or animals. The lesions in his right elbow presented impetiginization. Ivermectin 200mcg/kg/day treatment was initiated and oxacillin associated. On the third day of treatment, the patient was discharged with complete resolution of the lesions. Coclusion: The reported case assumes importance because it is a common and benign disease, but due to an unusual presentation was not diagnosed early. The disseminated form commonly may require hospitalization and prolonged treatment as presented

Introdução: A larva migrans cutânea é uma infestação cutânea causada por larvas de nematoides zoonóticos comumente causadas por ancilostomídeos como o Ancylostoma braziliense. Relato de caso: Aqui, relatamos o caso de uma criança de 7 anos de idade levada ao Departamento de Emergência, queixando-se de lesões eritematosas de prurido no cotovelo, punho e joelho direitos. Negava história prévia de contato com areia ou animais. As lesões no cotovelo direito apresentavam impetiginização. Ivermectina 200mcg/kg/dia foi iniciada e oxacilina associada. No terceiro dia de tratamento, o paciente recebeu alta com resolução completa das lesões. Conclusão: O caso relatado assume importância por ser uma doença comum e benigna, mas devido a uma apresentação incomum não foi diagnosticada precocemente. A forma disseminada comumente pode requerer hospitalização e tratamento.

Common Infectious Diseases in Hematopoietic Stem Cell Transplant Recipients / 대한내과학회지

Hematopoietic stem cell transplantation (HSCT) has improved the outcome of numerous malignant and non-malignant diseases. However, infectious diseases (IDs) still contributes the burden of morbidity and mortality significantly after both autologous and allogeneic HSCTs. IDs are usually classified by the time periods after HSCT; pre-engraftment period, immediate and late post-engraftment period. Kinds of IDs and their frequencies and distribution are dependent not only on the stem cell sources, conditioning regimens, presence of graft-versus-host diseases, but also on the region, prophylactic antibiotics, and so on. In this article, the common IDs after HSCT according to the time periods are reviewed. Additionally, it is tried to focus the recent Korean perspectives, for examples, tuberculosis, herpes zoster, respiratory virus infection-especially hope to be of help for the non-transplant specialists and/or primary physicians.