Bullous Cutaneous Larva Migrans And Generalized Cutaneous Larva Migrans: A Rare Clinical Manifestation

Gunawan, Hendra; Kusmayadi, Icha Rachmawati; Isneny, Syawalika Ulya

doi:10.2174/1874372202014010001

Cited by 1 publication

(4 citation statements)

References 16 publications

(19 reference statements)

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“…15,17 Gunawan et al reported 2 severe CLM cases, a 30-year-old male patient who worked as a builder with vesiculobullous lesions and a 20-year-old male patient with extensive CLM case. 13 Another unusual CLM case was reported by Mohanty et al on a penis of a male child. 17 In this case, the patient was an army who was accustomed to doing physical exercises and working in contact with soil and sand without wearing clothes.…”

Section: Discussionmentioning

confidence: 87%

“…12 The diagnosis of CLM can be established based on clinical manifestation and supported by a history of contact with soil or sand during work or travel. 13 Our patient likely obtained his condition from activities in soil and sand that were contaminated with cat or dog faecal matter. Larva enters the skin, followed by an asymptomatic dormant stage or the symptomatic larva migration phase.…”

Section: Discussionmentioning

confidence: 98%

“…This disease usually affects a person in contact with contaminated soil or sand and tourists during a vacation at the beach. 4,13 Humans are accidental hosts, dead-end hosts for zoonotic hookworms. 12 The diagnosis of CLM can be established based on clinical manifestation and supported by a history of contact with soil or sand during work or travel.…”

Section: Discussionmentioning

confidence: 99%

“…12 Gunawan et al reported Albendazole 400 mg per day for 3 to 5 days on generalised CLM gave an effective result. 13 Another effective drug is oral Ivermectin with a single dose of 200 µg/kg body weight. Ivermectin is commonly administered in many countries and has even become the firstline therapy to treat CLM patients.…”

Section: Discussionmentioning

confidence: 99%

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An unusual case of extensive truncal Cutaneous larva migrans from remote area in an Indonesian adult male: A case report

Tasbun,

Kusmayadi

2022

JKKI

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Cutaneous larva migrans (CLM) is a skin disorder in the form of serpiginous spreading with erythematous and papule as a skin reaction to the invasion of hookworm. Apart from the skin infection symptoms, helminthic infections tend to most frequently involve the respiratory, gastrointestinal, neurological, and eye. We report the case of a 21-year-old male who came with erythematous papules and linear tracks in the entire body that felt itchy, especially on the abdomen and at the back. On the physical examination, there were erythematous papules, erythematous tracks in serpiginous patterns, excoriations, and erosions. The patient was diagnosed with extensive CLM. The patient was treated with oral Albendazole 400 mg once daily for 3 days, oral Cetirizine 10 mg once daily to reduce the itch, and oral Cefixime 200 mg twice daily for 3 days. At the end of the follow-up, all the lesions had resolved, and no other symptoms appeared. Extensive cases of CLM are noteworthy for the presence of Loeffler syndrome and superinfection. In remote areas, sometimes, the availability of drugs is limited. Therapy using oral Mebendazole only gives 70% resolution of the skin lesion compared to Albendazole. Combination therapy of Albendazole, antihistamines, and antibiotics gave satisfactory results.

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Section: Discussionmentioning

confidence: 87%

Section: Discussionmentioning

confidence: 98%