Cutaneous larva migrans: Difference between revisions
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==Background== | ==Background== | ||
* | *Caused by movement of hookworm larvae through epidermis<ref name="Prickett">Prickett KA, Ferringer TC. What's eating you? Cutaneous larva migrans. Cutis. 2015 Mar;95(3):126-8.</ref> | ||
**''Ancylostoma caninum'' and ''Ancylostoma braziliense'' are most common pathogens | |||
**Typically occurs due to contact with dog/cat feces in soil/sand | |||
**More common in warm/tropical areas | |||
==Clinical Features== | ==Clinical Features== | ||
*Pruritis serpiginous eruption<ref name="Prickett" /> | |||
**Usually unilateral, but can be bilateral | |||
==Differential Diagnosis== | ==Differential Diagnosis== | ||
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==Diagnosis== | ==Diagnosis== | ||
*Clinical diagnosis, based on history and physical exam | |||
==Management== | ==Management== | ||
*Self-limited condition - larvae die within 2-8 weeks<ref name="Prickett" /> | |||
*Albendazole 400mg PO QD x3-5 days '''OR''' Ivermectin 12mg PO x1 '''OR''' topical thiabendazole TID x15 days | |||
==Disposition== | ==Disposition== | ||
*Discharge | |||
==See Also== | ==See Also== | ||
*[[Parasitic Disease]] | *[[Parasitic Disease]] | ||
*[[Travel Medicine]] | *[[Travel Medicine]] | ||
==References== | ==References== | ||
Revision as of 08:42, 18 August 2015
Background
- Caused by movement of hookworm larvae through epidermis[1]
- Ancylostoma caninum and Ancylostoma braziliense are most common pathogens
- Typically occurs due to contact with dog/cat feces in soil/sand
- More common in warm/tropical areas
Clinical Features
- Pruritis serpiginous eruption[1]
- Usually unilateral, but can be bilateral
Differential Diagnosis
- Papules
- Insect bites
- Scabies
- Seabather's eruption
- Cercarial dermatitis (Swimmer's Itch)
- Macular
- Sub Q Swelling and Nodules
- Ulcers
- Tropical pyoderma
- Leishmaniasis
- Mycobacterium marinum
- Buruli ulcer
- Dracunculiasis (Guinea Worm disease)
- Linear and Migratory Lesions
- Cutaneous larvae migrans
- Photodermatitis
See also domestic U.S. ectoparasites
Diagnosis
- Clinical diagnosis, based on history and physical exam
Management
- Self-limited condition - larvae die within 2-8 weeks[1]
- Albendazole 400mg PO QD x3-5 days OR Ivermectin 12mg PO x1 OR topical thiabendazole TID x15 days
Disposition
- Discharge