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Cutaneous larva migrans in northern Germany
Antonia Kienast1, Ralf Bialek, Peter H Hoeger
1Catholic Children's Hospital Wilhemstift, Liliencronstr. 130, 22149, Hamburg, Germany.
European Journal of Pediatrics
|January 12, 2007
Summary
Cutaneous larva migrans, typically seen in tropical areas, occurred in a German infant without travel history. This highlights the possibility of acquiring this parasitic infection even in non-tropical regions.
Area of Science:
- Dermatology
- Parasitology
- Infectious Diseases
Background:
- Cutaneous larva migrans (CLM) is a skin disease caused by nematode larvae.
- CLM is predominantly acquired in tropical and subtropical regions.
- Cases in non-endemic areas like Northern Europe are rare.
Observation:
- A 14-month-old infant presented with typical CLM symptoms.
- The infant had no history of recent travel outside Germany.
- This case occurred in a non-tropical country.
Findings:
- The diagnosis of CLM was confirmed in an infant residing in Germany.
- The parasitic infection was acquired locally, despite the absence of international travel.
- This case challenges the traditional association of CLM with tropical environments.
Implications:
- CLM should be considered in the differential diagnosis of pruritic, migratory skin lesions, even in non-endemic regions.
- Environmental or other local factors may facilitate the transmission of CLM in temperate climates.
- Increased awareness among clinicians is necessary for timely diagnosis and management of CLM in non-tropical countries.
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