Rapid development of migratory, linear, and serpiginous lesions in association with immunosuppression

An unusual rash: Strongyloides stercoralis presenting as larva currens in a 12‐year‐old girl with Crohn's disease

“…Larva currens (or ‘racing larva’ in Latin) is a rapidly advancing rash observed in some patients with strongyloidiasis and reflects the host's immune response to the migration of larvae in the host. The rash of larva currens is typically pink, evanescent and urticarial and may be linear, serpiginous, annular, arcuate or plaque‐like . As its name suggests, larva currens can be distinguished by its rapid spread and may progress by up to 10 cm per day, in contrast to the leisurely tempo of cutaneous larva migrans, which advances only several millimetres per day …”

Strongyloides Stercoralis Hyperinfection Syndrome: An Uncommon Mimicker

“…Hence, a high index of suspicion is warranted. Common features of SHS are presented in Table 2 [4,[7][8][9][10][11][12][13][14][15].…”

“…[7]. Larva currens is a pruritic serpiginous urticarial rash associated with larvae migration under the skin [8]. Confluent pruritic periumbilical macules harvesting SS could appear after institution of positive pressure ventilation due to retrograde venous larvae migration [9].…”

Infection and Hyperinfection with Strongyloides stercoralis: Clinical Presentation, Etiology of Disease, and Treatment Options

“…Patients may present with bacteremia and central nervous system infections with enteric organisms including gram-negative bacteria and Enterococcus species [40]. The classic dermatological manifestation is a migratory, linear, and serpiginous lesions (larva currens) [41]. Unlike patients with chronic infection, patients with hyperinfection syndrome present with large numbers of larvae but few eosinophils [32].…”