Larva Migrans: a growing public health problem highlighted by a beach tennis outbreak

Abstract

Cutaneous Larva Migrans (CLM), also known as creeping eruption or ground itch, is a parasitic infection caused by larvae of the Ancylostoma braziliense and A. caninum species, which usually infect dogs and cats. CLM is considered a neglected disease that affects populations in developing countries located in tropical regions such as Brazil, India, and the Caribbean. Although the infection is more prevalent in areas with low economic and social development, sports activities on sand courts or beaches have led to infections among an economically privileged audience, including international travelers. Considering the current importance of CLM, this work describes an outbreak of the disease among residents of a high-end residential condominium located in the municipality of Lavras, Minas Gerais, Brazil. During the epidemiological investigation, five individuals with CLM were identified, and environmental risk factors for sand contamination were discovered. Preventive measures and controls for new cases were advised, as well as health education initiatives aimed at guiding the residents. The findings highlight the importance of CLM as a public health issue, even among populations with high socioeconomic status, and the need for increased awareness and control measures to prevent further outbreaks. This study adds to the growing body of evidence on the epidemiology of CLM and underscores the need for continued research to develop effective prevention and control strategies for neglected parasitic diseases.