Cutaneous Larva Migrans on the Abdomen of a Child with Delayed Gross Motor Development

V Thadchanamoorthy,K Dayasiri

doi:10.4038/jmj.v32i1.92

Abstract

Cutaneous larva migrans is a tropically acquired parasitic infection caused mostly by the larvae of Ancylostoma braziliense and Ancylostoma caninum. We report a child with an unusual presentation of cutaneous larva migrans infection on her abdominal wall. The reported child with delayed gross-motor development presented to the pediatric clinic with a history of irritable cry and poor sleep for one-month duration. She could only roll-over on cemented floor in her house which had poor infrastructure facilities and also had several pets which frequently entered into the house. Examination revealed linear erythematous lesion on abdominal wall compatible with clinical diagnosis of cutaneous larva migrans. The child responded well to a seven-day course of Albendazole.

Highlights

A 2-year-old child was referred to pediatric clinic following episodes of irritable cry and poor sleep for one-month duration
The authors of this report describe a child with grossmotor delay who presented with Cutaneous larva migrans (CLM) infestation on the abdominal wall
Known as creeping eruption or sandworm disease is common in tropical and subtropical countries. It is caused by larvae of animal hookworms and rarely from other insects [2, 4]

Summary

Introduction

A 2-year-old child was referred to pediatric clinic following episodes of irritable cry and poor sleep for one-month duration. She had global developmental delay and epilepsy following neonatal meningitis and was under multidisciplinary team follow-up. The authors of this report describe a child with grossmotor delay who presented with CLM infestation on the abdominal wall.

Discussion

Conclusion