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Larva Migrans

Creeping Eruption


Presentation

  • Abstract Here we report the case of a 42-yr-old patient who presented himself to us with a serpiginous erythematous lesion from the wrist of the right forearm up the arm to the right shoulder A similar lesion of a smaller size was also present in the[ncbi.nlm.nih.gov]
Fever
  • Patient 1 was a 45-year-old man who presented to our university hospital complaining of mild fever, general fatigue, and headache.[ncbi.nlm.nih.gov]
  • Signs and symptoms include abdominal discomfort, nausea, vomiting, fever, diarrhea, headache, coughing, myalgias, arthralgias, and eye swelling. An infection with trichinella.[icd9data.com]
Physician
  • As illustrated here, HrCLM might represent a challenge for Western physicians in terms of diagnosis, treatment, and ways of acquisition.[ncbi.nlm.nih.gov]
Pain
  • One patient reported nausea and abdominal pain; another patient reported worsening of pruritus: in both cases it was not necessary to stop the therapy. No recurrences were observed during follow-up.[ncbi.nlm.nih.gov]
Weakness
  • He presented with fever, meningismus, lethargy, irritability and asymmetric spastic extremity weakness.[ncbi.nlm.nih.gov]
Fatigue
  • Patient 1 was a 45-year-old man who presented to our university hospital complaining of mild fever, general fatigue, and headache.[ncbi.nlm.nih.gov]
Sputum
  • Patient 2 was a 71-year-old man and was the father of Patient 1; he presented complaining of cough and hyper-viscous white sputum.[ncbi.nlm.nih.gov]
Larva Migrans
  • Recently, a recombinant B. procyonis antigen, BpRAG1, was reported for use in the development of improved serological assays for the diagnosis of Baylisascaris larva migrans.[ncbi.nlm.nih.gov]
Cutaneous Larva Migrans
  • On the basis of clinical manifestations and progression of the lesion, combined with previous treatments and different diagnostic investigations, hookworm-related cutaneous larva migrans (HrCLM) disease was hypothesized.[ncbi.nlm.nih.gov]
Skin Lesion
  • The patient subsequently developed creeping skin lesions and was seen by the author who prescribed albendazole 400 mg twice daily for three days.[ncbi.nlm.nih.gov]
Erythema
  • The eruption extended linearly along Langer's line of the lateral side of the abdomen to the lower back, leaving wave-like erythema.[ncbi.nlm.nih.gov]
Dermatitis
  • Abstract Cutaneous larva migrans (CLM) is a pruritic dermatitis caused by migration of the animal hookworm larvae into the epidermis. We present a case of CLM in a 31-year-old pregnant woman.[ncbi.nlm.nih.gov]
Suggestibility
  • Furthermore, the anamnestic data and the laboratory/clinical investigations strongly suggested an occupational exposure to the etiological agent.[ncbi.nlm.nih.gov]
Irritability
  • He presented with fever, meningismus, lethargy, irritability and asymmetric spastic extremity weakness.[ncbi.nlm.nih.gov]
Seizure
  • Involvement of nervous system by toxocariasis is rare and can produce a spectrum of pathology that includes eosinophillic meningoencephalitis, meningomyelitis, space occupying lesions, vasculitis causing seizures or behavioral abnormalities posing diagnostic[ncbi.nlm.nih.gov]
Lethargy
  • He presented with fever, meningismus, lethargy, irritability and asymmetric spastic extremity weakness.[ncbi.nlm.nih.gov]
Language Delays
  • At 10 months, residual neurologic deficits included subtle paraparesis and moderate language delay. This case is the first in which spinal involvement in human Baylisascaris infection was clinically suspected and confirmed by neuroimaging.[ncbi.nlm.nih.gov]

Workup

Pulmonary Infiltrate
  • Laboratory data from both patients showed extensive eosinophilia, their chest X-ray findings revealed multiple pulmonary infiltrates, and their bronchoalveolar lavage fluid (BALF) showed an elevated eosinophil count.[ncbi.nlm.nih.gov]

Treatment

  • Albendazole was employed as treatment and the resolution of the symptoms confirmed the diagnosis.[ncbi.nlm.nih.gov]

Prognosis

  • Treatment is with albendazole and steroids, although the prognosis is generally poor. This parasite can also cause ocular larva migrans (OLM) which usually presents as diffuse unilateral subacute neuroretinitis (DUSN).[ncbi.nlm.nih.gov]

Etiology

  • Furthermore, the anamnestic data and the laboratory/clinical investigations strongly suggested an occupational exposure to the etiological agent.[ncbi.nlm.nih.gov]
  • All members of the trichinella genus can infect human in addition to trichinella spiralis, the traditional etiological agent.[icd9data.com]

Epidemiology

  • Neurohelminthiasis as a cause of multiple abscesses, though rare, should be entertained as a differential diagnosis particularly in tropical South-east Asian countries where helminthiasis is still an epidemiological concern prevalent in the pediatric[ncbi.nlm.nih.gov]
Sex distribution
Age distribution

Prevention

  • Treatment options are reviewed, and information for prevention is discussed.[ncbi.nlm.nih.gov]

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