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Cutaneous Larva Migrans in Early Infancy.

Karjigi Siddalingappa1, Sambasiviah Chidambara Murthy2, Kallappa Herakal1

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Cutaneous larva migrans, a skin condition caused by hookworm larvae, was diagnosed in a 2-month-old infant. Albendazole treatment effectively resolved the creeping eruption, marking the youngest reported case.

Keywords:
Cutaneous larva migranscreeping eruptionsinfancy

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Area of Science:

  • Dermatology
  • Infectious Diseases
  • Pediatrics

Background:

  • Cutaneous larva migrans (CLM), also known as creeping eruptions, is a parasitic skin infection.
  • It is typically caused by hookworm larvae, most commonly Ancylostoma braziliense.
  • CLM presents as an intensely pruritic, erythematous, and tortuous eruption.

Purpose of the Study:

  • To report the youngest pediatric case of cutaneous larva migrans.
  • To highlight the clinical presentation and successful treatment of CLM in an infant.

Main Methods:

  • Clinical case presentation of a 2-month-old female infant with a progressive rash.
  • Physical examination revealing characteristic erythematous, tortuous, thread-like tracts.
  • Diagnosis confirmed by clinical presentation and successful therapeutic response.

Main Results:

  • A 2-month-old infant presented with a 4-day history of a progressive rash on the left buttock.
  • Cutaneous examination showed an urticarial papule evolving into an erythematous, tortuous tract.
  • Complete resolution of the rash was achieved with albendazole treatment.

Conclusions:

  • Cutaneous larva migrans can occur in neonates and very young infants.
  • Albendazole is an effective treatment for cutaneous larva migrans.
  • This case represents the youngest reported instance of CLM, expanding the known age range for this condition.