Cutaneous Larva Migrans with Löeffler’s Syndrome

Gao, Yali; Liu, Ze‐Hu

doi:10.4269/ajtmh.18-0406

Cited by 15 publications

(13 citation statements)

References 5 publications

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“…Sometimes supportive therapy such as oxygen inhalation, systemic or inhalational corticosteroids may be required to alleviate the respiratory symptoms. 4 , 8 , 9 , 23 …”

Section: Discussionmentioning

confidence: 99%

Loeffler's Syndrome and Multifocal Cutaneous Larva Migrans

Sil

Bhanja

Chandra

et al. 2023

Sultan Qaboos Univ Med J

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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 characterized by pulmonary infiltration along with peripheral eosinophilia and commonly follows parasitic infestation. We report here an interesting case of a patient presenting with LS that was attributed secondary to multifocal CLM. Treatment with seven-day course of oral albendazole (400mg daily) coupled with nebulization (levosalbutamol and budesonide) led to complete resolution of cutaneous lesions and respiratory complaints in two weeks. There was complete resolution of pulmonary pathology at 4 weeks follow-up. As there are only a few reported cases of LS associated with CLM, we also reviewed the literature on this rare association. Keywords: Loeffler's syndrome; peripheral eosinophilia; cutaneous larva migrans; multifocal; disseminated; helminths, albendazole.

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“…Sometimes supportive therapy such as oxygen inhalation, systemic or inhalational corticosteroids may be required to alleviate the respiratory symptoms. 4 , 8 , 9 , 23 …”

Section: Discussionmentioning

confidence: 99%

Loeffler's Syndrome and Multifocal Cutaneous Larva Migrans

Sil

Bhanja

Chandra

et al. 2023

Sultan Qaboos Univ Med J

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“…Barefoot individuals seem to be most at risk, as they account for up to 95% of cases [ 3 ]. Shortly after inoculation, serpentine tracks soon develop as the nematode burrows which then allows it to travel anywhere from a couple of millimeters to several centimeters per day [ 2 , 3 ]. Fortunately, the organism cannot complete its full life cycle in humans and usually dies within months of inoculation.…”

Section: Discussionmentioning

confidence: 99%

“…Upon literature review [1][2][3][4], it is frequently characterized as multiple diffuse, migratory pulmonary infiltrates with concomitant serum eosinophilia. Cutaneous larva migrans, on the other hand, is a fairly common tropical parasitic skin disease [2]. In one particular study, 6.7% of travelers visiting a travel-related clinic presented with this disease [5].…”

Section: Introductionmentioning

confidence: 99%

A Unique Case of Cutaneous Larva Migrans and Asymptomatic Löeffler’s Syndrome

Lee

Kryzstofiak

2021

Cureus

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Cutaneous larva migrans is a fairly common parasitic skin disease typically found in more tropical climates such as the southeastern United States, with the most commonly encountered organism known as the hookworm, Ancylostoma braziliense. Löeffler's syndrome is a rare pulmonary manifestation with vague diagnostic criteria but frequently characterized by diffuse migratory pulmonary infiltrates on imaging studies with accompanying serum eosinophilia. Here, we present a unique case of Löeffler's syndrome secondary to cutaneous larva migrans.

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“…Therefore, delayed or misdiagnosis are possible events, resulting in inappropriate treatments [ 12 ]. Although larvae cannot penetrate the skin basal membrane leading to a spontaneous resolution in about 1 to 2 months, secondary complications may occur (e.g., local or general allergic reactions, secondary bacterial infections by Staphylococcus aureus and Streptococcus species, Lӧffler syndrome, and eosinophilic enteritis), suggesting the importance of a prompt etiological diagnosis [ 13 , 14 ].…”

Section: Introductionmentioning

confidence: 99%

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 with Löeffler’s Syndrome

Cited by 15 publications

References 5 publications

Loeffler's Syndrome and Multifocal Cutaneous Larva Migrans

Loeffler's Syndrome and Multifocal Cutaneous Larva Migrans

A Unique Case of Cutaneous Larva Migrans and Asymptomatic Löeffler’s Syndrome

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

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