Infectious Disease Compendium

Cutaneous Larva Migrans

Diagnosis

Also known as the creeping eruption. A serpentiginous, intensely pruritic, rash caused by the larva wandering around in the skin. Since humans are not the usual hosts (that intended host is the dog or cat), the larva gets lost.

Microbiology

Ancylostoma braziliense (the most common pathogen), Ancylostoma canium, Uncinaria stenocephala, Bunostomum phebotomum.

Epidemiologic Risks

Lying in cat poo or dog poo on a beach where they have used the sand as a toilet.

Empiric Therapy

Ivermectin 12 mg single dose

It is self limited, but can try thiabendazole cream 10% bid for 7 days OR 25 mg/kg po bid for 2 d.

Pearls

Rants