- Visibility 46 Views
- Downloads 42 Downloads
- Permissions
- DOI 10.18231/j.ijced.36551.1758883575
-
CrossMark
- Citation
A retrospective study on atypical presentations of cutaneous larva migrans - Case series
Cutaneous larva migrans (CLM), a prevalent parasitic skin infection in tropical and subtropical regions, typically manifests as pruritic serpiginous tracks. However, the clinical presentation of CLM can exhibit considerable variability, and atypical manifestations may present diagnostic challenges for dermatologists. This retrospective case series examines ten atypical CLM presentations at a tertiary care hospital involving patients of diverse ages and occupations with lesions in uncommon anatomical sites, including the shoulder, back, forearm, foot, groin, thigh, and abdomen. The initial misdiagnoses included bacterial infection, irritant contact dermatitis, paederus dermatitis, pompholyx, cellulitis, and dermatophytosis. However, closer examination revealed characteristic serpiginous tracks, confirming CLM. Treatment modalities included antibiotics for secondary infections, antihistamines for pruritus, and albendazole as anthelmintic therapy. Misdiagnosis and inappropriate treatment with corticosteroids and antifungal agents in some cases exacerbate the condition. This series underscores the necessity of recognizing atypical CLM presentations for accurate diagnosis and treatment, prevention of complications, and improvement in patient outcomes.
References
- Sharma R, Singh BB, Gill JPS. Larva migrans in India: veterinary and public health perspectives. J Parasit Dis. 2015;39:604–12.
- Karthikeyan K, Thappa DM. Cutaneous larva migrans. Indian J Dermatol Venereol Leprol. 2002;68(5):252–8.
- Neafie RC, Meyers WM. Cutaneous larva migrans. In: Strickland GT ed. Hunters Tropical Medicine and Emerging Infectious Diseases, 8th edn. Philadelphia: Sounders 2000:797–9.
- Rao LL, Padmavathy L. Cutaneous larva migrans - A case report. Indian J Med Microbiol. 2005;23(2):135–6.
- Sengupta S, Das JK, Gangopadhyay A. Creeping eruption: A spectacular presentation. Ind J Dermatol. 2006;51(4):294.
- Heukelbach J, Jackson A, Ariza L, Feldmeier H. Prevalence and risk factors of hookworm-related cutaneous larva migrans in a rural community in Brazil. Ann Trop Med Parasitol. 2008;102(1):53–61.
- Hotez PJ, Narasimhan S, Haggerty J, Milstone L, Bhopale V, Schad GA, et al. Hyaluronidase from infective Ancylostoma hookworm larvae and its possible function as a virulence factor in tissue invasion and in cutaneous larva migrans. Infect Immun. 1992;60(3):1018–23.
- Paul I, Singh B. Cutaneous larva migrans in children: A case series from Southern India. Indian J Paediatr Dermatol. 2017;18(1):36.
- Shyamini SRS, Mannu A, Ramasamy S, Vasudevan J. Creeping Bugs and Winding Rash-Series of Cutaneous Larva Migrans Cases from Southern Suburban Chennai, Tamil Nadu, India. J Clin of Diagn Res. 2023;17(3):SR01–3.
- Kaur S, Jindal N, Sahu P, Jairath V, Jain VK. Creeping Eruption on the Move: A Case Series from Northern India. Indian J Dermatol. 2015;60(4):422.
- Tianyi FL, Agbor VN, Kadia BM, Dimala CA. An unusual case of extensive truncal cutaneous larva migrans in a Cameroonian baby: a case report. J Med Case Rep. 2018;12(1):270.
- Sil A, Panigrahi A, Bhanja DB, Chakraborty S. Cutaneous Larva Migrans Over Penis. Urology. 2020;140:e6–e7.
- Vijayasankar P, Subramaniam R, Kaliaperumal K. Bullous Cutaneous Larva Migrans of the Palm. Am J Trop Med Hyg. 2022;106(5):1298–9.
- Eksomtramage T, Aiempanakit K. Bullous and pustular cutaneous larva migrans: two case reports and a literature review. IDCases. 2018;12:130–2.
- Miller AC, Walker J, Jaworski R, de Launey W, Paver R. Hookworm folliculitis. Arch Dermatol. 1991;127(4):547–9.
How to Cite This Article
Vancouver
T PB, R S, D HP, Venkatesan A. A retrospective study on atypical presentations of cutaneous larva migrans - Case series [Internet]. IP Indian J Clin Exp Dermatol. 2025 [cited 2025 Oct 02];11(3):421-425. Available from: https://doi.org/10.18231/j.ijced.36551.1758883575
APA
T, P. B., R, S., D, H. P., Venkatesan, A. (2025). A retrospective study on atypical presentations of cutaneous larva migrans - Case series. IP Indian J Clin Exp Dermatol, 11(3), 421-425. https://doi.org/10.18231/j.ijced.36551.1758883575
MLA
T, Priya B, R, Sowmiya, D, Hema Priyadharshini, Venkatesan, Anandan. "A retrospective study on atypical presentations of cutaneous larva migrans - Case series." IP Indian J Clin Exp Dermatol, vol. 11, no. 3, 2025, pp. 421-425. https://doi.org/10.18231/j.ijced.36551.1758883575
Chicago
T, P. B., R, S., D, H. P., Venkatesan, A.. "A retrospective study on atypical presentations of cutaneous larva migrans - Case series." IP Indian J Clin Exp Dermatol 11, no. 3 (2025): 421-425. https://doi.org/10.18231/j.ijced.36551.1758883575