Cutaneous Larva Migrans

(Kriechkrankheit)

The cutaneous larva migrans (CLM also Kriechkrankheit) is the skin manifestation of hookworm infestation.

CLM is Ancylostoma sp. causes, usually dog ??or cat hookworm (Ancylostoma braziliense). The eggs of hookworm in the feces of dogs and cats develop in warm, wet ground or sand to the infective larvae. To transfer it comes in direct skin contact with contaminated soil or sand, so that the larvae can penetrate through the unprotected skin usually on the feet, legs, buttocks or back. CLM occurs worldwide, but with an accumulation in tropical climates.

The cutaneous larva migrans (CLM also Kriechkrankheit) is the skin manifestation of hookworm infestation. CLM is Ancylostoma sp. causes, usually dog ??or cat hookworm (Ancylostoma braziliense). The eggs of hookworm in the feces of dogs and cats develop in warm, wet ground or sand to the infective larvae. To transfer it comes in direct skin contact with contaminated soil or sand, so that the larvae can penetrate through the unprotected skin usually on the feet, legs, buttocks or back. CLM occurs worldwide, but with an accumulation in tropical climates. CLM is accompanied by the strongest itching. erythema occurs at the point of entry followed by a winding, thread-like, reddish-brown inflammation track. Patients can also develop papules and vesicles that resemble the folliculitis, called hookworm folliculitis. The diagnosis is made by history and clinical presentation. Although the infection subsides spontaneously after a few weeks, discomfort and the risk of secondary bacterial infections can justify a treatment. Pronounced effective is topical 15% Thiabendazollösung or cream (compound) 2 to 3 times daily for 5 days. Oral thiabendazole is not well tolerated and therefore normally not given. Albendazole (400 mg po once a day for 3-7 days) and ivermectin (200 mcg / kg 1 times / day for 1-2 days) can cure the infection and are well tolerated. (Editor’s note:! Cave Ivermectin is not approved in Germany in the medical area) CLM can be complicated by a self-limiting pulmonary reaction, the so-called Löffler’s syndrome (patchy pulmonary infiltrates and peripheral blood eosinophilia)..

Health Life Media Team

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