Cutaneous larva migrans: a case report
Cutaneous larva migrans may be diagnosed by the typical clinical presentation, consisting on a pruritic serpiginous lesion that advances in a patient with a history of sunbathing, walking barefoot on the beach, or similar activity in a tropical location.Case presentationWe describe the case of a Mediterranean 32-year-old man, recently returned from a trip to a Brazilian beach, which presented with a 2-week history of pruritic cutaneous lesions that had not resolved after treatment with oral antihistamines and topical fluocinolone ointment. Physical examination showed a serpiginous, erythematous and slightly elevated lesion of 2-mm wide and 7-cm long located on the posterior aspect of his left knee.
Patient affirmed that the lesion advanced progressively. Laboratory analyses only revealed an elevated absolute eosinophil count.
Albendazole 400 mg/d 3 days was administered to the patient with complete resolution of symptoms within 1 week.
Conclusions: Cutaneous larva migrans is common among travelers returning from tropical countries. We review epidemiology, clinical, diagnosis and therapeutic options of cutaneous larva migrans.
Author: Sergio Vano-Galvan, Manuel Gil-Mosquera, Mayte Truchuelo and Pedro Jaen
Credits/Source: Cases Journal 2009, 2:112
Published on: 2009-01-31
Copyright by the authors listed above - made available via BioMedCentral (Open Access). Please
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