Cutaneous Larva Migrans in a Migrant Latino Farmworker

Conde, Jennifer; Feldman, Steven R.; Vallejos, Quirina M.; Quandt, Sara A.; Whalley, Lara E.; Brooks, Thanh; Cabral, Gonzalo; Fleischer, Alan B.; Arcury, Thomas A.

doi:10.1300/j096v12n02_05

Cited by 2 publications

(1 citation statement)

References 10 publications

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“…Sporadic cases are usually associated with untypical climatic conditions, such as prolonged periods of warm weather and rainfall. Cases have been reported in Germany, France, the UK, New Zealand [18][19][20][21][22][23], and the USA (from New Jersey to Texas) [24].…”

Section: Disease Occurrencementioning

confidence: 99%

Mini review: hookworm-related cutaneous larva migrans

Feldmeier

Schuster

2011

Eur J Clin Microbiol Infect Dis

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Hookworm-related cutaneous larva migrans (HrCLM) is a parasitic skin disease caused by the migration of animal hookworm larvae in the epidermis. Since these larvae cannot penetrate the basal membrane of human skin, they remain confined to the epidermis and are unable to develop and complete their lifecycle. By consequence, HrCLM is a self-limiting disease. However, if not treated promptly, the skin pathology may persist for months. HrCLM is endemic in many resource-poor communities in the developing world. In high-income countries, HrCLM occurs sporadically or in the form of small epidemics. Travelers account for the great majority of cases seen by health-care professionals in high-income countries. Transmission occurs when naked skin comes into contact with contaminated soil. Exposure may also occur indoors. Exceptionally, larvae may be transmitted through fomites. The first clinical sign is a small reddish papule. Thereafter, the characteristic serpiginous, slightly elevated, erythematous track becomes visible. Itching becomes more and more intense. Excoriations induced by scratching facilitate bacterial superinfection of the lesion. The diagnosis is essentially clinical. It is supported by a recent travel history and the possibility of exposure. The drug of choice is ivermectin in a single dose (200 μg per kg bodyweight). Repeated treatments with albendazole (400 mg daily) are a good alternative in countries where ivermectin is not available.

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Section: Disease Occurrencementioning

confidence: 99%

Mini review: hookworm-related cutaneous larva migrans

Feldmeier

Schuster

2011

Eur J Clin Microbiol Infect Dis

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Occupational risk of cutaneous larva migrans: A case report and a systematic literature review

et al. 2022

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Cutaneous larva migrans (CLM) is a parasitic zoonosis of warm tropical and subtropical areas, although autochthonous cases have been increasingly reported in Western European countries. Data on the prevalence of CLM as an occupational disease in workers exposed to potentially contaminated soil or in close contact with dogs and cats are scant. Herein, we report an autochthonous case of CLM in a dog breeder from southern Italy (Apulia region), along with a systematic literature review describing the risk of CLM infection, mainly according to job categories. The patient was referred to the dermatology unit presenting a serpiginous lesion on his hand, raising the suspected CLM diagnosis. In non-endemic areas, CLM might represent a challenge for physicians in terms of diagnosis, treatment, and prevention, particularly in workplaces. The multidisciplinary approach in the diagnosis of CLM with the involvement of different scientific competences (i.e., dermatologists, veterinarians, and occupational physicians) may contribute to further assess the distribution of human CLM and associated risk factors, toward reducing the risk for the infection.

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Cutaneous Larva Migrans in a Migrant Latino Farmworker

Abstract: Migrant farmworkers experience a high incidence of skin disease. This report provides information on the case history of cutaneous larva migrans in a Latino migrant farmworker. Treatment options are reviewed, and information for prevention is discussed.

Cited by 2 publications

References 10 publications

Mini review: hookworm-related cutaneous larva migrans

Mini review: hookworm-related cutaneous larva migrans

Occupational risk of cutaneous larva migrans: A case report and a systematic literature review

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