Cutaneous larva migrans

A 41-year-old man with a background history of peptic ulcer disease was admitted with acute gastroenteritis. This settled with intravenous fluid and supportive treatment. Admission blood investigations showed mild eosinophilia (28% and 3.3 × 109/ml absolute count). He reported a history of pruritus over the lower and inner thighs. On examination, he had two healing wounds over the posterior aspect of the right thigh and one on the medial aspect of the right thigh (Figure  1a and b). Interestingly, there were also serpiginous scabs leading to two of the lesions. On inquiry, he frequently enters the jungles and had last entered 7 days prior to the admission. On that occasion, he had wandered barefoot for several hours and later developed pruritus in the affected areas. He was diagnosed with cutaneous larva migrans (CLM) and was treated with a course of albendazole 400  mg daily for 5 days.
Source: QJM - Category: Internal Medicine Source Type: research