RESUMEN
BACKGROUND: Cutaneous larva migrans (CLM) is a helminthic infection found in tropical areas. It is commonly seen in patients in contact with soil contaminated by cat and dog hookworm larvae. CLM manifests as an erythematous, serpiginous, and pruritic cutaneous eruption. We present a case of a 27-year-old female with a serpiginous lesion on the plantar surface of the right foot. METHODS AND RESULTS: The patient was prescribed Albendazole at 400 mg twice a day for three days. After treatment, the lesion and pruritus have decreased in severity. CONCLUSIONS: Hookworm-related CLM is diagnosed clinically based on the typical clinical presentation. Clinicians need to be aware of the possibility of hookworm-related CLM with a history of travel to tropical areas, especially walking barefoot.
Asunto(s)
Larva Migrans , Femenino , Perros , Humanos , Animales , Gatos , Adulto , Larva Migrans/diagnóstico , Larva Migrans/tratamiento farmacológico , Albendazol/uso terapéutico , Viaje , Catalasa/uso terapéuticoRESUMEN
Follicular larva migrans (FLM) is a rare and atypical clinical presentation of hookworm-related cutaneous larva migrans (HrCLM). FLM is characterized clinically by follicular, round, small, erythematous papules that are sometimes topped by vesicles or pustules. These lesions are usually located on the abdomen, back, buttocks and thighs and are accompanied by more or less severe pruritus. Some typical and/or short and fragmented tracks may also be visible. FLM is more resistant to anti-helminthic drugs than classical HrCLM: this is likely due to the deep location of larvae in hair follicles. We present two cases of FLM and a review of the literature.
Asunto(s)
Antihelmínticos , Larva Migrans , Animales , Larva Migrans/diagnóstico , Larva Migrans/tratamiento farmacológico , Larva Migrans/patología , Antihelmínticos/uso terapéutico , Ancylostomatoidea , LarvaAsunto(s)
Larva Migrans , Voleibol , Humanos , Larva Migrans/diagnóstico , Larva Migrans/tratamiento farmacológico , ViajeRESUMEN
Dermatological disorders are among the most common complaints of patients seeking medical assistance after returning from trips to tropical countries. Among exotic dermatoses, one of the frequently encountered diagnoses is Cutaneous Larva Migrans (CLM), primarily caused by the nematodes Ancylostoma braziliense and A. caninum. Cats and dogs, which serve as the definitive hosts for these nematodes, excrete with their stool parasite eggs into the environment, where they transform into larvae. Human infection occurs through the invasive form of the larvae, which penetrate the skin, causing itching and the characteristic serpiginous, slightly raised, and enlarging lesion at the site of invasion. Diagnosis is made based on the highly characteristic clinical presentation, although in non-endemic countries, diagnostic errors and delays in initiating effective causal treatment are relatively common. Effective therapy includes oral albendazole and ivermectin. Prevention of CLM involves avoiding skin contact with potentially contaminated soil by wearing shoes and using towels and mats on the beach. Due to the high interest in travel and the risk of importing exotic diseases, it is important to promote knowledge of tropical medicine among healthcare professionals as well as the travellers.
Asunto(s)
Larva Migrans , Humanos , Animales , Gatos , Perros , Larva Migrans/diagnóstico , Larva Migrans/tratamiento farmacológico , Larva Migrans/epidemiología , Ivermectina/uso terapéutico , Albendazol/uso terapéutico , Viaje , HecesRESUMEN
Cutaneous larva migrans (CLM) is a dermo-epidermal parasitic infection with a disproportionate incidence in developing countries, particularly in, and near tropical areas. It is characterized by erythematous, twisting, and linear plaques that can migrate to adjacent skin. Herein, we present an otherwise healthy 45-year-old woman who acquired a pruritic, erythematous, and serpiginous rash localized to her right medial ankle during a trip to New England. Oral ivermectin, the preferred first-line treatment for cutaneous larva migrans, was administered in combination with triamcinolone. This was followed by removal of the papular area via punch biopsy; treatment was successful with a one-week recovery. Although cutaneous larva migrans has traditionally been considered a tropical disease, clinicians should be cognizant of its expanding geographic spread.
Asunto(s)
Exantema , Larva Migrans , Humanos , Femenino , Persona de Mediana Edad , Larva Migrans/diagnóstico , Larva Migrans/tratamiento farmacológico , Larva Migrans/epidemiología , Ivermectina/uso terapéutico , Piel/patología , Epidermis , Exantema/patologíaAsunto(s)
Larva Migrans , Piel , Animales , Humanos , Larva , Larva Migrans/diagnóstico , Larva Migrans/tratamiento farmacológicoRESUMEN
Cutaneous larva migrans (CLM) is a zoonotic skin disease that is frequently diagnosed in tropical and subtropical countries. Loeffler's syndrome (LS) is a transient respiratory ailment characterised by pulmonary infiltration along with peripheral eosinophilia and commonly follows parasitic infestation. We report a 33-year-old male patient who presented to a tertiary care hospital in eastern India in 2019 with LS that was attributed secondary to multifocal CLM. Treatment with seven-day course of oral albendazole (400 mg daily) coupled with nebulisation (levosalbutamol and budesonide) led to complete resolution of cutaneous lesions and respiratory complaints within two weeks. There was complete resolution of pulmonary pathology at four-weeks follow-up.
Asunto(s)
Larva Migrans , Masculino , Humanos , Adulto , Larva Migrans/diagnóstico , Larva Migrans/tratamiento farmacológico , Piel , Albendazol/uso terapéutico , India , LevalbuterolRESUMEN
Cutaneous larva migrans (CLM) is one of numerous skin diseases that occur in British military personnel on deployments to the tropics and sub-tropics. It is typically managed by military primary healthcare services, but diagnostic uncertainty or unavailability of anti-helminthic medication may prompt referral to UK Role 4 healthcare services. Cases of CLM seen at the UK Role 4 Military Infectious Diseases & Tropical Medicine Service from 2005 to 2020 were identified and their case notes were reviewed to identify learning and discussion points. There were 12 cases identified, of which five came from Brunei and three were from Belize. Causes for referral were due to diagnostic uncertainty (58%) and the unavailability of anti-helminthic medication (42%). Several cases had CLM in an unusual distribution due to specific military activities performed in endemic areas. Telemedicine was very useful in making some of the diagnoses in theatre and avoiding the need for medical evacuation. Military personnel may have unusual presentations of CLM due their unique military activities. In areas that are endemic for CLM, clinicians should maintain high clinical suspicion for CLM, carry appropriate anti-helminthic medications and consider screening cases of CLM and their colleagues for other infections with similar aetiology (eg, human hookworm infection and strongyloidiasis).
Asunto(s)
Larva Migrans , Personal Militar , Estrongiloidiasis , Humanos , Larva Migrans/diagnóstico , Larva Migrans/tratamiento farmacológico , Larva Migrans/epidemiología , BeliceAsunto(s)
Larva Migrans , Administración Cutánea , Niño , Humanos , Larva Migrans/tratamiento farmacológico , Masculino , PielRESUMEN
Cutaneous larva migrans acquired in western Scotland. A reminder that with a warming climate, conditions conventionally restricted to the tropics may be contracted in the British Isles in the absence of foreign travel.
Asunto(s)
Dermatosis del Pie/diagnóstico , Larva Migrans/diagnóstico , Enfermedad Relacionada con los Viajes , Adulto , Albendazol/uso terapéutico , Antinematodos/uso terapéutico , Femenino , Dermatosis del Pie/tratamiento farmacológico , Dermatosis del Pie/patología , Humanos , Larva Migrans/tratamiento farmacológico , Larva Migrans/patología , EscociaRESUMEN
INTRODUCTION: Cutaneous larva migrans (CLM) is a zoonotic disease caused by hookworms characteristic of tropical and subtropical regions. In Poland, new cases appear every year in patients who have travelled to tropical areas. Most of the cases are initially under-diagnosed, which results in a delay in starting proper treatment. CASE REPORT: A 49-year-old woman presented to the Outpatient Dermatology Clinic with a pruritic and fibrous cutaneous lesion on the plantar region of her left foot. She had returned from a tourist trip to Honduras one week before the skin lesion erupted. RESULTS: The diagnosis of CLM due to Ancylostoma sp. infestation was confirmed. Locally applied cryotherapy was ineffective. The oral treatment of albendazole resulted in complete resolution of the symptoms without recurrence after a 6-month follow up period. CONCLUSIONS: CLM should be considered in travellers to tropical countries. Oral anti-parasitic agents seem to be more effective than topical treatment for dermatosis.