Cutaneous larva migrans: A case report successfully treated with albendazole

Cutaneous larva migrans (CLM) is helminthic infection that is mostly found in tropical and subtropical areas [1]. It is commonly seen with those who have contact with soil that is contaminated by cat and dog's hookworm larvae. CLM present as erythematous, serpiginous, pruritic cutaneous eruption that is caused by accidental percutaneous penetration and subsequent migration of larvae.

We present a case of 45 year old male with erythematous, serpiginous, pruritic eruption over the dorsum of foot.Clinical findings and investigations: Patient had a 2-3 cm linear, erythematous, serpiginous localized lesion characteristic of a papular tip on the dorsal surface of the right foot. Total and differential blood counts, peripheral blood smear and chest x-ray were sent for investigations.

Patient was prescribed Albendazole at a dose of 400mg, once a day for seven days. After treatment, the lesion and pruritus had regressed significantly.

Hookworm-related CLM is diagnosed clinically based on the typical clinical presentation (skin findings). Clinicians should be aware of the possibility of hookworm-related CLM with history of travel to tropical areas, specially walking barefoot.