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Cutaneous larva migrans in the city.
Aruna S Khan1,2, Ahmad Al-Awadi1, Floyd B Willis1
1Department of Family Medicine Mayo Clinic Jacksonville Florida.
Clinical Case Reports
|December 28, 2020
Summary
Cutaneous larva migrans (CLM) is increasingly found outside tropical areas. This parasitic skin infection should now be considered in urban, nontropical environments.
Area of Science:
- Dermatology
- Infectious Diseases
- Parasitology
Background:
- Cutaneous larva migrans (CLM) is a helminthic zoonosis caused by hookworm larvae.
- Traditionally associated with tropical and subtropical climates due to parasite life cycle requirements.
Observation:
- Recent case reports indicate a geographical expansion of CLM.
- Cases are emerging in urban settings previously considered non-endemic.
Findings:
- The traditional geographical distribution of CLM is no longer exclusive.
- Environmental and societal changes may facilitate CLM spread to new regions.
Implications:
- Clinicians in nontropical and urban areas must be aware of CLM as a differential diagnosis.
- Public health surveillance may need to adapt to recognize CLM in non-endemic settings.

