Year: 2019 I Volume: 2 I Issue: 2 I Page: 56-57

Cutaneous Larva Migrans – A Case Report

Department of Dermatology, Venereology, and Leprosy, National Institute of Medical Sciences & Research, Jaipur – 303121

Corresponding Author:
Dr. Barkha Goel
G 2nd Year, Department of Dermatology, Venereology, and Leprosy
National Institute of Medical Sciences & Research, Jaipur – 303121

How to cite this article:
MGoel B, Singh K, Agrawal S, Jain S, Agrawal S. Cutaneous Larva Migrans-ACaseReport.JDAIndianJournalofClinical Dermatology. 2019;2:56-57


Cutaneous larva migrans or creeping eruption is one of the most common acquired tropical dermatosis caused by the filariform larvae of hookworm.We report a case of 55 years old female patient,farmer by occupation with cutaneous larva migrans over anterior abdominal wall which is an unusual site and was treated successfully with oral albendazole. We present this case for its occurrence on an unusual site.

Key words: Creeping eruption, Cutaneous larva migrans


Cutaneous larva migrans (syn, creeping eruption, sand worm eruption, plumbers itch, duck hunters itch) is common tropically acquired dermatosis caused by the accidental penetration of skin by third-stage larvae of animal hookworm; Ancylostoma brasiliense, A. caninum, A. ceylonicum, Uncineria stenocephala, [1] and Bubostomum phlebotomum. A. brasiliense (dog hookworm) is the commonest cause of these creeping eruptions in humans who act as dead-end hosts. The adult worms inhabit the small intestine of human, mainly jejunum and attach themselvesto the mucous membrane by means of buccal armature and causes anemia. Cutaneous parasitic infestations are major source of morbidity affecting millions of people worldwide and tropical climate; overcrowding, poor hygiene and sanitary [2] problems play very important role in their causation. Humans acquire the infection while walking barefoot on sandpits, seashore or areas with loose and wet soil.Most frequent sites of infection are distal extremities, back , and buttocks.[3]

FIGURE 1 (a,b) : Characteristic curvilinear serpiginous erythematous lesions on the anterior abdominal wall

Click here to view

FIGURE 2 (a,b) : A curvilinear tract, about 25 cms long on the anterior abdominal wall, healing at one end and progressing at the other

Click here to view


Creeping eruption is a parasitic dermatosis caused by the penetration of larvae of hookworm into the epidermis of human[4]. It is most commonly found in tropical and subtropical geographic areas and the southwestern United States with an overall prevalence of 8.2% . It has become an endemic in the Central America, South America, Southeast Asia, and Africa. It is characterized by an erythematous, serpiginous, pruritic, cutaneous eruption caused by percutaneous penetration and subsequent migration of the larvae of various nematode parasite. [5] The most frequent location is the distal lower extremities or buttocks. The most common cause is Ancylostoma braziliense and less common species are Ancylostoma caninum, Uncinaria stenocephala and Bunostomum phlebotomum. [3] The incubation period ranges from 1-6 days.Every larvae produces a single tract and migrates at a speed of 1-3cm/day in epidermis because of lack of enzymes necessary to penetrate and survive in the deeper dermis. In our patient, diagnosis was based on clinical features as there was no history of fever, pulmonary or intestinal symptoms. Biopsy is not much useful as the larvae may advance upto 2cm ahead of the visible burrow. Extensive lesions can be associated with wheezing, dry cough and urticaria. Creeping eruption is a self-limiting dermatosis which usually resolves in 2-8 weeks but rarely may persist for 2 years and the prognosis is excellent. Secondary infection and eczematization are common complications. Now a days, treatment of choice is 10% to 15% topical thiabendazole suspension, made by crushing a 500mg tablet of thiabendazole in 5g of a water-soluble cream, applied four times a day, for atleast 2 days after the last sign of burrow activity. This regimen is of great efficacy and least toxicity. Oral thiabendazole suspension of 500mg/5ml can be used twice per day for 2 days. Other useful drugs are albendazole 400mg/day for 3 consecutive days and oral ivermectin 150-200 ug/kg as a single dose.[6] Albendazole is a powerful antihelminthic against infections caused by intestinal nematodes and was first used to treat creeping eruption in 1982[7]. Liquid nitrogen cryotherapy can be used for a progressive end of larvae burrow. Avoidance of direct skin contact with contaminated soil by covering the ground with impenetrable material, wearing footwears, avoiding bare feet walking, and de-worming the pets are preventive measures. Literature review showed that only very few case with lesions on anterior abdominal wall have been reported till date so we present this case for its rarity. We conclude that sporadic cases of creeping eruption should be kept in mind in differential diagnosis of any creeping lesion even in non-endemic areas.


1. Davies HD, Sakuls P Keystone JS. Creeping eruption. A review of clinical presentation and management of 60 cases presenting to a tropical disease unit. Arch Dermatol 1993; 129:528-529. 1999;341:929-35

2. Meffert JI. Parasitic infestations. In: Dermatology secrets 1st Ed. Fitzpatrick, Aeling J, editors. New Delhi, India: Jaypee Brothers; 1977. p.217.

3. Karthikeyan K, Thappa DM. Cutaneous larva migrans. Indian J. Dermatol Venerol Leprol 2001;68:252-8.

4. Heukelbach J, Feldmeier H. Epidemiological and clinical characteristics of hookworm-related cutaneous larva migrans. Lancet Infect Dis 2008;8:302-9.

5. Brenner MA, Patel MB. Cutaneous larva migrans: The creeping eruption. Cutis 2003;72:111-5.

6. Coumas E, Datry A, Paris L, et al. Efficacy of Ivermectin in the treatment of cutaneous larva migrans. Arch Dermatol 1992;128:994-5.

7. Coulaud JP, Binet D, Voyer C, Samson C, Moreau G, Rossignol JF. Treatment of the cutaneous larva migrans syndrome “Larbish” with albendazole. Apropos of 18 cases. Bull Soc Pathol Exot Filiales 1982;75:534-7.

1,755 comments on “Cutaneous Larva Migrans – A Case Report

  1. Diarrhoea Chronic kidney disease Faeces discoloured Headache Loose stools Renal failure how old do you have to be to buy viagra Overall survival OS was improved across all subgroups of patients with non small cell lung cancer NSCLC who received atezolizumab Tecentriq compared with chemotherapy, including poor prognostic factors that were evaluated in an analysis of data from the OAK trial

  2. I have read your article carefully and I agree with you very much. This has provided a great help for my thesis writing, and I will seriously improve it. However, I don’t know much about a certain place. Can you help me?

  3. Одним из методов достижения человеком счастья является бунт против
    реальности. Бунтовщик пытается переделать мир в соответствии со своим желаниям.
    Такой метод, как правило, не имеет успеха.
    Человек становится безумцем в своей иллюзии.
    Хотя интересно заметить, что каждый из нас порой дерзает
    своими мечтами изменить реальность.
    Примером пребывания большого числа людей в иллюзии могут послужить
    религиозные сообщества. Психологичные характеристики.

  4. To play Temple Run 2 unblocked, you can typically download it from official app stores or trusted sources. There isn’t a web-based version for unblocked play due to its mobile-focused nature. We have new multiplayer-friendly online games launching daily on like MU Origin 3, World of Tanks Blitz, League of Angels: Chaos, and many more. You can play games with friends and make enduring memories, from cooperative adventures to competitive challenges. Free camera app for Windows Just like the mobile version, Temple Run 2 for PC comes with awesome features. The graphics are great and pretty much like the Android game. You’ll love the PC version since you can see the runs and experience the action almost up and close. How to play Free Fire online?Play Free Fire online on PC or mobile and without downloading. Use the web browser on PC or mobile to play free games, only
    In 8-ball pool, you are either “solids” or “stripes”, where you have seven balls to put away. Once done, you can then try to pocket the 8-ball. First player to pocket all seven balls plus the neutral 8-ball wins. 8 Ball Pool With Buddies is an online brain game that we hand picked for Lagged. This is one of our favorite mobile brain games that we have to play. Simply click the big play button to start having fun. To play even more free games, view our all time top games page. One of the biggest benefits of playing on an 8 ball pool table is improved hand-eye coordination. This game requires players to use their eyes to aim and their hands to shoot, making it a great way to improve your overall coordination skills. As you practice and get better at the game, you’ll find that your hand-eye coordination will improve significantly. This can be beneficial in other areas of life as well, such as sports and other physical activities.

  5. 0% KHOẢN VAY ĐẦU TIÊN* Bạn đang gặp khó khăn và cần được hỗ trợ và triệu đồng trong ngắn hạn? Tham khảo ngay một vài thông tin về Vay Siêu Tốc nhé! Mặc dù lãi suất này cao hơn so với việc vay tại ngân hàng, nhưng dịch vụ vay H5 vẫn thu hút sự quan tâm của khách hàng nhờ tốc độ vay nhanh chóng và thủ tục đơn giản. Vay Tốt Nhất không phải là tổ chức tín dụng, ngân hàng hay công ty cho vay! Dạ, đăng ký vay tiền online hỗ trợ cả ngày lẫn đêm khuya, kể cả vay tiền thứ 7, vay chủ nhật, vay tiền ngày lễ… vẫn được giải ngân chuyển khoản tự động. Phần lớn các web đều áp dụng công nghệ cho vay xét duyệt tự động. H5 Vay Nhanh – Với mục đích giới thiệu, đánh giá những website ứng dụng H5 vay tiền và các app vay tiền online có trên thị trường tài chính. Giúp cho người dùng nhận biết và hiểu rõ hơn về hạn mức – thời hạn – lãi suất từng ứng dụng.
    – Năm 1: 3% x số tiền trả nợ trước hạn. – Năm 2-3: 2% x số tiền trả nợ trước hạn. – Sau năm 3: 0.5%x số tiền trả nợ trước hạn. Thông tin Shinhan Bank hỗ trợ nợ xấu vay tiền đã và đang làm cho rất nhiều người thắc mắc không biết nên tin hay không. Nắm chắc được đáp án cho thắc mắc này sẽ giúp nhiều người tiết kiệm được thời gian và công sức. Chẳng hạn như việc hoàn tất hồ sơ vay vốn nhưng không được xét duyệt vì nợ xấu thì sẽ mất rất nhiều công sức, thời gian của bản thân. Vậy Shinhan Bank hỗ trợ nợ xấu tiếp tục vay tiền là đúng hay sai? Để kích cầu, nhiều mẫu xe đã được giảm giá mạnh, các hãng cũng tung ra chương trình giảm 50% phí trước bạ hoặc giảm trực tiếp tiền mặt để thu hút người mua. Lãi suất cho vay mua ô tô cũng đã giảm đáng kể trong thời gian trở lại đây.

  6. While getting free money sounds too good to be true, no deposit bonuses for bingo are a real thing. And today, you’ll learn everything you need to know before you claim one of these promotions. In addition to ranking the best $5 free bingo sites, we’ll also give you some tips and advice about the best bonus types and how to use them. You can email the site owner to let them know you were blocked. Please include what you were doing when this page came up and the Cloudflare Ray ID found at the bottom of this page. This site contains gambling related content (including but not limited to casino games, poker, bingo, sports betting etc.) and is intended for adults only. You must be 18 years of age or older (or if the age of majority in your place of residence is greater than 18 years, you must have attained the age of majority) to use or engage in any of the programs we offer.
    412-231-7777 Enhance your Southern California casino experience with exclusive benefits and exciting opportunities. Whether you enjoy playing slot machines, venturing into high limit, or doubling down at table games, join The Club at Pechanga. Named for cigar aficionados and football pros Fred Smerles and Steve DeOssie, Fred & Steve’s Blackstone Cigar Bar cooperates with some top American Spirit Distillers like Tito Handmade Vodka and Thomas Tew Rum to serve hand-crafted cocktails. Confusing things even further, the state of Minnesota has some strange casino regulations, where most casinos are split between “mostly slot machines” and “mostly card games” but for whatever reason, the two are rarely combined. After a day at the casino, why not make it two and stay the night!