CASE REPORT
Cutaneous larva migrans imported from a tropical trip – Case report and literature review
| 1 | Department of Medical Biology and Biochemistry, L. Rydygier Collegium Medicum in Bydgoszcz, Nicolaus Copernicus University in Toruń, Bydgoszcz, Poland |
| 2 | Department of Cosmetology and Aesthetic Dermatology, L. Rydygier Collegium Medicum in Bydgoszcz, Nicolaus Copernicus University in Toruń, Bydgoszcz, Poland |
CORRESPONDING AUTHOR
Karolina Szewczyk-Golec
L. Rydygier Collegium Medicum in Bydgoszcz, Nicolaus Copernicus University in Toruń, Karłowicza 24, 85-092, Bydgoszcz, Poland
L. Rydygier Collegium Medicum in Bydgoszcz, Nicolaus Copernicus University in Toruń, Karłowicza 24, 85-092, Bydgoszcz, Poland
Ann Agric Environ Med. 2021;28(4):709–712
KEYWORDS
TOPICS
ABSTRACT
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.
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.
REFERENCES (21)
1.
Tekely E, Szostakiewicz B, Wawrzycki B, et al. Cutaneous larva migrans syndrome: a case report. Postepy Dermatol Alergol. 2013; 30(2): 119–121. https://doi.org/10.5114/pdia.2....
2.
Wieczorek A, Szepietowski J. Cutaneous larva migrans. Przegl Dermatol. 2016; 103(4): 292–294. https://doi.org/10.5114/dr.201....
3.
Cardoso AEC, Cardoso AEO, Talhari C, et al. Update on parasitic dermatoses. An Bras Dermatol. 2020; 95(1): 1–14. https://doi.org/10.1016/j.abd.....
4.
Gutierrez Garcia-Rodrigo C, Tous Romero F, Zarco Olivo C. Cutaneous larva migrans, welcome to a warmer Europe. J Eur Acad Dermatol Venereol. 2017; 31(1): e33-e35. https://doi.org/10.1111/jdv.13....
5.
Heukelbach J, Feldmeier H. Epidemiological and clinical characteristics of hookworm-related cutaneous larva migrans. Lancet Infect Dis. 2008; 8(5): 302–309. https://doi.org/10.1016/S1473-....
6.
Coello RD, Pazmiño BJ, Reyes EO, et al. A Case of Cutaneous Larva Migrans in a Child from Vinces, Ecuador. Am J Case Rep. 2019; 20: 1402–1406. https://doi.org/10.12659/AJCR.....
7.
Richey TK, Gentry RH, Fitzpatrick JE, et al. Persistent cutaneous larva migrans due to Ancylostoma species. South Med J. 1996; 89(6): 609–611. https://doi.org/10.1097/000076....
8.
Sunderkoetter C, von Stebut E, Schoefer H, et al. S1 guideline diagnosis and therapy of cutaneous larva migrans (creeping disease). J Dtsch Dermatol Ges. 2014; 12(1): 86–91. https://doi.org/10.1111/ddg.12....
9.
Indira R, Viveka Vardhani V. Prevalence of ancylostomiasis in people living in slum area, Philhousepet of Eluru, West Godavari District (Andhra Pradesh). J Parasit Dis. 2013; 37(1): 29–34. https://doi.org/10.1007/s12639....
10.
Brooker S, Bethony J, Hotez PJ. Human hookworm infection in the 21st century. Adv Parasitol. 2004; 58: 197–288. http://doi.org/10.1016/S0065-3....
11.
Mohd Zain SN, Rahman R, Lewis JW. Stray animal and human defecation as sources of soil-transmitted helminth eggs in playgrounds of Peninsular Malaysia. J Helminthol. 2015; 89(6): 740–747. https://doi.org/10.1017/S00221....
12.
Leder K, Torresi J, Libman MD, et al. GeoSentinel surveillance of illness in returned travelers, 2007–2011. Ann Intern Med. 2013; 158(6): 456–468. https://doi.org/10.7326/0003-4....
13.
Korzeniewski K, Juszczak D, Jerzemowski J. Skin lesions in returning travellers. Int Marit Health. 2015; 66(3): 173–180. https://doi.org/10.5603/IMH.20....
14.
Blackwell V, Vega-Lopez F. Cutaneous larva migrans: clinical features and management of 44 cases presenting in the returning traveller. Br J Dermatol. 2001; 145(3): 434–437. https://doi.org/10.1046/j.1365....
15.
Kwon IH, Kim HS, Lee JH, et al. A serologically diagnosed human case of cutaneous larva migrans caused by Ancylostoma caninum. Korean J Parasitol. 2003; 41(4): 233–237. https://doi.org/10.3347/kjp.20....
16.
Veraldi S, Persico MC, Francia C, et al. Chronic hookworm-related cutaneous larva migrans. Int J Infect Dis. 2013; 17(4): e277-e279. http://dx.doi.org/10.1016/j.ij....
17.
Khurana S, Sethi S. Laboratory diagnosis of soil transmitted helminthiasis. Trop Parasitol. 2017; 7(2): 86–91. https://doi.org/10.4103/tp.TP_....
18.
Veraldi S, Çuka E, Vaira F. Cutaneous Larva Migrans. In: Abramovits W, Graham G, Har-Shai Y, Strumia R, editors. Dermatological Cryosurgery and Cryotherapy. London: Springer; 2016. p. 475–477.r.
19.
Gerbig AW, Kempf W. Topical treatment of cutaneous larva migrans with ivermectin 1. Int J Dermatol. 2019; 59(1): e21-e22. https://doi.org/10.1111/ijd.14....
20.
Kincaid L, Klowak M, Klowak S, et al. Management of imported cutaneous larva migrans: a case series and mini-review. Travel Med Infect Dis. 2015; 13(5): 382–387. https://doi.org/10.1016/j.tmai....
21.
Akkouche W, Ahmed SA, Sattin A, et al. Autochthonous Hookworm-Related Cutaneous Larva Migrans Disease in Northeastern Italy: A Case Report. J Parasitol. 2015; 101(4): 488–489. https://doi.org/10.1645/15-725....
RELATED ARTICLE
Improvement of visual identification of the journal - task financed under the agreement No. 618/P-DUN/2019 by the Minister of Science and Higher Education allocated to the activities of disseminating science.
Generation of the DOI (Digital Object Identifier) - task financed under the agreement No. 618/P-DUN/2019 by the Minister of Science and Higher
We process personal data collected when visiting the website. The function of obtaining information about users and their behavior is carried out by voluntarily entered information in forms and saving cookies in end devices. Data, including cookies, are used to provide services, improve the user experience and to analyze the traffic in accordance with the Privacy policy. Data are also collected and processed by Google Analytics tool (more).
You can change cookies settings in your browser. Restricted use of cookies in the browser configuration may affect some functionalities of the website.
You can change cookies settings in your browser. Restricted use of cookies in the browser configuration may affect some functionalities of the website.