Cutaneous larva migrans: Difference between revisions
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== Background == |
== Background == |
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=== Microbiology === |
=== Microbiology === |
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* Caused by ''[[ |
* Caused by non-human hookworms, including ''[[Vector::Ancylostoma braziliense]]'' (most common), ''[[Vector::Ancylostoma caninum]]'', or ''[[Vector::Uncinaria stenocephala]]'' dog and cat hookworms |
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** Humans are a dead-end incidental host |
** Humans are a dead-end incidental host |
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* Rarely, caused by other zoonotic hookworms |
* Rarely, caused by other zoonotic hookworms |
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== Clinical |
== Clinical Manifestations == |
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* Characterized by appearance of serpiginous, raised, erythematous, burrowing tracks typically found on the feet |
* Characterized by appearance of serpiginous, raised, erythematous, burrowing tracks typically found on the feet |
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* Lesions are usually itchy, may be painful |
* Lesions are usually itchy, may be painful |
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== Management == |
== Management == |
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* Lesions with |
* Lesions with spontaneously resolve given time, but if the pruritis is severe then may benefit from treatment |
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* [[Is treated by::Ivermectin]] 200 mcg/kg po once, can be repeated a second time |
* [[Is treated by::Ivermectin]] 200 mcg/kg po once, can be repeated a second time |
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* Alternatively, [[Is treated by::albendazole]] 200 to 400 mg po bid for 3 to 5 days (with food) |
* Alternatively, [[Is treated by::albendazole]] 200 to 400 mg po bid for 3 to 5 days (with food) |
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Latest revision as of 03:57, 19 July 2020
- Itchy tropical dermatosis caused by dog or cat hookworm in tropical countries
Background
Microbiology
- Caused by non-human hookworms, including Ancylostoma braziliense (most common), Ancylostoma caninum, or Uncinaria stenocephala dog and cat hookworms
- Humans are a dead-end incidental host
- Rarely, caused by other zoonotic hookworms
Clinical Manifestations
- Characterized by appearance of serpiginous, raised, erythematous, burrowing tracks typically found on the feet
- Lesions are usually itchy, may be painful
- Progress more slowly than larva currens
Management
- Lesions with spontaneously resolve given time, but if the pruritis is severe then may benefit from treatment
- Ivermectin 200 mcg/kg po once, can be repeated a second time
- Alternatively, albendazole 200 to 400 mg po bid for 3 to 5 days (with food)
