Follicular cutaneous larva migrans: a report of three cases and review of the literature

Veraldi, Stefano; Persico, Maria; Francia, C.; Nazzaro, Gianluca; Gianotti, Raffaele

doi:10.1111/j.1365-4632.2012.05723.x

Cited by 20 publications

(27 citation statements)

References 12 publications

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“…1,4 It is a common occurrence in tropical and subtropical countries. [1][2][3][4] With the growing frequency of travel to these areas, CLM cases are seen elsewhere. 2 Adult worm resides in the intestines of cats and dogs and shed eggs in feces.…”

Section: Discussionmentioning

confidence: 99%

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Cutaneous larva migrans at unusual sites‒A case series

Acharya¹

2018

JDC

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Cutaneous larva migrans is skin eruption caused by infestation and migration of animal hookworm larvae in the human skin. It is common in tropics and sub-tropics. 1-3 CLM has become common among travellers. The disease mainly occurs in resource-poor communities. 1 CLM presents as typical erythematous, serpiginous, pruritic, migratory skin eruptions. Lesions usually depends on area in contact with the ground like feet, legs and buttocks. 2,3 Diagnosis is made on clinical ground of serpiginous eruption in patient with history of exposure. 1-4 Clinical synopsis Here we report 5 cases of CLM all seen among the residents of Maldives presenting at unusual sites (Table 1).

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Section: Discussionmentioning

confidence: 99%

“…This develops into linear or serpentine tract that spreads 1-5 centimeters a day. 4 Vesico-bullous, Papulo-pustular (Folliculitis), bacterial super infection, eczematous rash are uncommon manifestation of CLM. Lesion heals naturally within few weeks to months of infestation.…”

Section: Discussionmentioning

confidence: 99%

Cutaneous larva migrans at unusual sites‒A case series

Acharya¹

2018

JDC

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“…Lezyonlar genellikle alt ekstremitelerde özellikle de ayak dorsal ve plantar yüzlerde görülmektedir 1, 5,6 . Bunun dışında genital bölge, kafa derisi, üst ekstremite ve gövdeyi de tutan KLM olguları bildirilmiştir [6][7][8][9] . Bizim olgumuzda da benzer olarak ayak ve kollarda tipik lezyonlar ve yoğun kaşıntı mevcuttu.…”

Section: Discussionunclassified

“…KLM için nemli ve sıcak iklimli coğrafi bölgelerde yaşamak ve/veya bu bölgelere seyahat etmek, toprak veya yalınayak temas halinde olmak risk faktörleri olarak bilinmektedir. Hastalığın endemik olduğu tropikal ve subtropikal bölgelere seyahat sonrası meydana gelmiş çok sayıda olgu bulunmaktadır [6][7][8][9][10] . Bizim olgumuzda da Brezilya Amazon gezisinde yalınayak kumlarda dolaşma ve trekking yapma öyküsü mevcuttu.…”

Section: Discussionunclassified

Cutaneous Larva Migrans in Turkey: An Imported Case Report

Sönmezer¹,

Erdinç²,

Tülek³

et al. 2017

Mikrobiyol Bul

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Cutaneous larva migrans (CLM) is a parasitic infection most commonly found in tropical and subtropical areas. However, with the ease and increase of foreign travel to many countries around the world, the infection is not limited to these areas. CLM is an erythematous, serpiginous infection with skin eruption caused by percutaneous penetration of the larvae to the skin. In this report, a case diagnosed as imported CLM after an Amazon trip and treated with albendazole was presented. A 36 year-old male patient admitted to infectious diseases clinic with intense itching, erythematous, raised, streaklike serpiginious eruptionand some redness at bilateral foot especially at the right foot for about one week. The patient was living in Turkey, and travelled to Brazil for an Amazon trip three months ago and the lesions began immediately after this occasion. CLM was diagnosed with the typical lesions in the patient and oral albendazole treatment 2 x 400 mg/day for 3 consecutive days was carried out with oral amoxicillin/clavulanat 3 x 1 g/day for the secondary bacterial infection. The patient responded very well to oral albendazole treatment with a result of a rapid improvementof pruritus in days and no side effect was observed during the treatment period.After discharge, during his controlit was seenthat the lesions were regressed with leaving hyperpigmentation. In cases with cutaneous larva migrans, diagnosis is often made by the presence of pruritic typical lesions and tunnels, travel story to endemic regions, the story of barefoot contact with sand and soil in these regions, and the sun tanning story on the beach. The lesions are often seen in the lower extremities, especially in the dorsal and plantar surface of the foot. Laboratory findings are not specific. Temporary peripheral eosinophilia can be seen and biopsy can be done to confirm the diagnosis but usually no parasite is seen in the histopathological examination. Contact dermatitis, bacterial and fungal skin infections and other parasitic diseases should be considered in differential diagnosis. For the treatment ivermectin 1 x 200 mg/kg single dose or albendazole 400 mg/day for three days is recommended. As a result, cutaneous larva migrans should be kept in mind especially in patients with a history of travel to endemic areas and a history of bare feet contact with sandy beaches and soil in this region and with itchy, red and serpiginous skin lesions.

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“…Ein derart ausgedehnter Befund mit follikulär-gebundenen roten Papeln, der wahrscheinlich auf einer hyperergen Reaktion beruhte [2], ist ungewöhnlich bei der kutanen Larva migrans. Tatsächlich wurden bisher weniger als 30 Fälle berichtet [8]. Eine Follikulitis oder vesikulobullöse Läsionen traten in einigen Fällen der Hakenwurm-assoziierten kutanen Larva migrans auf [3].…”

Section: Clinical Letterunclassified