Hookworm-related Cutaneous Larva Migrans with Exceptional Multiple Cutaneous Entries

doi:10.13188/2373-1044.1000044

Abstract

Highlights

Hookworm-related Cutaneous Larva Migrans (HrCLM) is one of the most common helminthic skin infestations
HrCLM is one of the most frequent cutaneous parasitic infestations seen among people living in tropical and subtropical areas, including Southeastern Florida [2,3,8]
HrCLM is caused by the inadvertent penetration and migration of animal hookworm larvae through the epidermis

Summary

Introduction

Hookworm-related Cutaneous Larva Migrans (HrCLM) is one of the most common helminthic skin infestations. Within two days the larvae hatch and mature to filariform (third stage) larvae able to infect other animal hosts [4]. These larvae are most prevalent in tropical and subtropical areas, frequently found on beaches in the Southeastern United States, Central and South America, Southeast Asia, and Africa [2,5]. There were hyper-pigmented macules around the tracks with overlying crust (Figure 1) Patient stated that he had been living some time in a bush and sleeping on the ground where stray animals defecate. Based upon the typical characteristics of the lesions and epidemiologic history, a diagnosis of HrCLM was suspected, but due to the unusual multiple lesions, skin punch biopsies were performed from the left buttock and right posterior lower leg.

Findings

Discussion

Conclusion