Academic literature on the topic 'Serpiginous tracks'

Cutaneous larva migrans (CLM) is a zoonotic skin disorder caused by the infestation of animal hookworm larvae, the most common being Ancylostoma braziliense. The larvae penetrate the skin surface and subsequently migrate to the epidermis, leaving a typical manifestation of linear or serpiginous erythematous burrow-like tracks, known as creeping eruption. This report presented a case of a young man with complaints of the serpiginous erupted lesion over the upper left thigh, following a recent history of beach travel. On dermatological examination, an erythematous serpiginous lesion and papules were found, portraying the clinical presentation of CLM. The administration of albendazole 400 mg was started, and the symptoms were completely resolved. Keywords: larva migrans, skin disease, creeping eruption, nematodes, albendazole.

Cutaneous Larva Migrans (CLM) commonly known as creeping eruptions is a zoonotic skin infection caused by the larval stages of hookworms of dogs and cats. This disease is particularly prevalent in tropical and subtropical regions, including parts of India, where warm, humid climates and poor sanitation create ideal conditions for larval survival. Humans might contract CLM when their skin comes into contact with contaminated soil. The infection manifests as itchy, snake-like rashes on the skin, typically on the feet, hands, or other exposed areas, and can lead to discomfort and secondary bacterial infections if not managed properly. CLM is a significant public health concern, especially for vulnerable populations such as children, immunocompromised individuals, and those living in poverty-stricken areas with inadequate sanitation. Prevention is the key to control the spread of the disease, as it underscores the interconnectedness of human and animal health. Collaborative efforts between veterinarians and public health authorities are essential to implement effective prevention and control strategies. By raising awareness about CLM and promoting preventive measures, we can reduce its global burden and improve community health. This article aims to highlight the importance of understanding CLM, particularly in regions like India where it is endemic, and to emphasize the role of veterinary science in addressing zoonotic diseases.

The article presents a description of two clinical cases of “Larva migrans cutanea”. These patients had intolerable itching sensations in the skin lesions that appeared after returning from tropical countries. Clinical presentation was visualized by erythema with clear boundaries and serpiginous intradermal tracks. The diagnosis was verified on the basis of complaints, anamnesis and a characteristic clinical presentation. The treatment was included antihelmintic drug Albendazole. In both cases patients were recovered. Larva migrans cutanea with prompt and appropriate treatment lends itself well to therapy with rapid achievement of the positive effect without development of complications.

The article presents a description of two clinical cases of “Larva migrans cutanea”. These patients had intolerable itching sensations in the skin lesions that appeared after returning from tropical countries. Clinical presentation was visualized by erythema with clear boundaries and serpiginous intradermal tracks. The diagnosis was verified on the basis of complaints, anamnesis and a characteristic clinical presentation. The treatment was included antihelmintic drug Albendazole. In both cases patients were recovered. Larva migrans cutanea with prompt and appropriate treatment lends itself well to therapy with rapid achievement of the positive effect without development of complications.

<strong>RESUMEN</strong> El S&iacute;ndrome de Larva Migrans Cut&aacute;nea (LMC) es una erupci&oacute;n vesicular, ampollosa de aspecto serpiginoso, condicionada por la presencia y desplazamiento intraepid&eacute;rmico de larvas de <em>Ancylostoma</em> spp., <em>Necator americanus</em>, <em>Uncinaria stenocephala</em>, entre otros nem&aacute;todos. El objetivo fue determinar la prevalencia de LMC en pacientes atendidos en el Complejo Universitario &ldquo;Ruiz y P&aacute;ez&rdquo; y Servicio de Dermatolog&iacute;a del Hospital &ldquo;Julio Criollo Rivas&rdquo; del estado Bol&iacute;var. Se realiz&oacute; un estudio retrospectivo, revisando los archivos m&eacute;dicos durante 46 a&ntilde;os (1968-2014). Se evaluaron 100 historias m&eacute;dicas con diagn&oacute;stico confirmado de LMC. La prevalencia de LMC fue de 9 por cada 10.000 pacientes atendidos. La poblaci&oacute;n estuvo comprendida en edades entre 1 mes y 74 a&ntilde;os, con una media de 10,2 a&ntilde;os (DE &plusmn; 13,4 a&ntilde;os). El grupo etario de mayor prevalencia fue de 0 a 10 a&ntilde;os (69,0%); (<em>p</em> &lt; 0,05), en su&nbsp; mayor&iacute;a masculino (61,0%). Los meses con mayor diagn&oacute;stico de LMC fueron: septiembre (14,0%), julio y agosto (13,0%). La fuente de contagio estuvo asociada con visitas a parques (37,0%), contacto con perros (36,0%), arena (31,0%), gatos (24,0%); adicionalmente, contacto con botaderos de basura (32,0%) y ba&ntilde;os en r&iacute;os (22,0%) (<em>p</em> = 0,001). Las manifestaciones cl&iacute;nicas fueron: aumento de volumen, p&aacute;pulas eritematosas en surco serpiginosos y prurito (58,0%); predominantemente lineal (83,0%); en pie (17,0%) y mano derecha (16,0%). El tratamiento de elecci&oacute;n fue albendazol (63,0%). LMC es una entidad end&eacute;mica y durante un per&iacute;odo de 46 a&ntilde;os ha mantenido una prevalencia baja, de acuerdo a los registros de los principales centros de salud de Ciudad Bol&iacute;var, estado Bol&iacute;var. <strong>ABSTRACT</strong> Cutaneous Larva Migrans Syndrome (CML) is a vesicular, bullous eruption with a characteristic serpiginous appearance, conditioned by the presence and intraepidermal displacement of larvae of <em>Ancylostoma</em> spp, <em>Necator americanus</em>, <em>Uncinaria stenocephala</em>, among other parasitic nematodes. The purpose of the study was to determine the prevalence of CML in patients treated at the &ldquo;Ruiz y P&aacute;ez&rdquo; University Complex and Dermatology Service of the &ldquo;Julio Criollo Rivas&rdquo; Hospital in Bol&iacute;var State. A retrospective study was carried out, reviewing medical records from 46 years (1968-2014). One hundred medical records with CML confirmed diagnosis were evaluated. Prevalence of CML was 9 for every 10,000 patients attended. The age of the population in the sample was between 1 month and 74 years old, with a mean of 10.2 years (SD &plusmn; 13.4). The highest prevalence among age groups was from 0 to 10 years (69.0%) (<em>p</em> &lt; 0.05), mainly in males (61.0%). The months with the highest diagnosis were: September (14.0%), July and August (13.0%). The sources of infection were associated to visits to parks (37.0%), contact with dogs (36.0%), sand (31.0%) and cats (24.0%); in addition, contact with garbage dump (32.0%) and bathing in rivers (22.0%) (<em>p</em> = 0.001). Clinical manifestations were: increased local volume, erythematous papule in a serpiginous groove, and itching (58.0%); the shape was predominantly linear (83.0%); located on foot (17.0%) and right hand (16.0%). The preferred treatment was albendazole (63.0%). CML is an endemic entity and over a period of 46 years it has maintained a low prevalence, according to records from the main health centers in Ciudad Bol&iacute;var, Bol&iacute;var state.

Background: The skin lesions of Cutaneous Larva Migrans (CLM) commonly manifests as single, linear, irregular, serpiginous raised erythematous track, but the other clinical variants exist. This case series aimed to report one case of a vesiculobullous lesion in CLM and one case of CLM with generalized distribution serpiginous erythematous skin lesion. Objectives: We report one case of a vesiculobullous lesion in CLM and one case of CLM with generalized distribution serpiginous erythematous skin lesion. Conclusion: There were CLM with vesiculobullous lesions and also with generalized distribution of skin lesion. The pathogenesis of this condition is still unknown. In both cases, albendazole 400 mg per day for 3 and 5 days gave an effective result.

&lt;p&gt;Cutaneous larvae migrans or creeping eruption is a serpiginous cutaneous eruption caused by the accidental penetration and migration of animal hookworm (nematode) larvae through the epidermis and subcutaneous tissue. The infection occurs most frequently in warmer climates and is associated with pruritus and burning sensation&lt;span style="text-decoration: line-through;"&gt;s&lt;/span&gt;. We report a case of 48 years old farmer with vesicular lesion on left ankle progressing into a serpiginous track on the skin surface without any characteristic symptoms. Treatment with oral and topical drugs led to successful resolution of lesions within 10 days.&lt;/p&gt;

<strong>RESUMEN</strong> &nbsp; Se presenta la experiencia del diagn&oacute;stico cl&iacute;nico del s&iacute;ndrome de larva migrans cut&aacute;nea, en 11 individuos que exhibieron lesiones m&uacute;ltiples en pies, con trayectos migratorios serpiginosos, ampollas e intenso prurito nocturno. La similitud de antecedentes epidemiol&oacute;gicos y la expresi&oacute;n de las mismas manifestaciones cl&iacute;nicas en un grupo que asisti&oacute; a una reuni&oacute;n nocturna con fin recreacional, luego de haber permanecido cinco horas descalzos sobre arena de playa, cre&oacute; la sospecha del brote epid&eacute;mico. Se inspeccion&oacute; el lugar referido como posible fuente de infecci&oacute;n y adicionalmente, fueron tomadas dos muestras de arena. Se realiz&oacute; evaluaci&oacute;n microbiol&oacute;gica (por el m&eacute;todo de Baerman modificado y sedimentaci&oacute;n espontanea) y estudio granulom&eacute;trico (ASTM C136). Se demostr&oacute; la presencia de larvas rhabditiformes en transici&oacute;n (L2-L3) de <em>Ancylostoma</em> spp. Los pacientes fueron tratados con albendazol VO (400 mg cada 12 horas durante cinco d&iacute;as), observ&aacute;ndose cura cl&iacute;nica. Se recomienda evitar el contacto directo y por tiempo prolongado, en arena de playa cuando se observe fecalismo al aire libre de perros y gatos, ya que estas condiciones son un ambiente propicio para zoonosis. <strong>ABSTRACT</strong> The experience of the clinical diagnosis of cutaneous syndrome larva migrans is presented, in 11 individuals who exhibited multiple lesions on the feet, with serpeginous migratory paths, blisters and intense nocturnal itching. The similarity of epidemiological antecedents and the expression of the same clinical manifestations in a group that attended an evening meeting for recreational purposes, after having spent 5 hours barefoot on beach sand, created the suspicion of an epidemic outbreak. The place referred to as a possible source of infection was inspected and, additionally, two sand samples were taken. Microbiological evaluation (by the modified Baerman method) and granulometric study (ASTM C136) were carried out. The presence of rhabditiform larvae in transition (L2-L3) of <em>Ancylostoma</em> spp. was demonstrated. The patients were treated with albendazole PO (400 mg every 12 hours for five days), observing clinical cure. It is recommended to avoid direct contact and for prolonged time, in beach sand when fecalism is observed in the open air of dogs and cats, since these conditions are a favorable environment for zoonoses.

Hookworm-related cutaneous larva migrans is caused by the intradermal migration of soil-dwelling filariform larvae of dog and cat hookworms, most commonly Ancylostoma, usually develop itchy skin lesions, usually consisting of migrating superficial serpiginous traces, or sometimes stationary follicular eruptions. The plantar topography or on the regions of the body in contact with the sand of the beaches of the Antilles, West Africa and East Asia, the presence of fine and not very mobile serpiginous furrows and eczematization with vesiculobullous eruption, are characteristic. There are misleading profuse forms such as pseudo-folliculitis. We present a Moroccan patient who developed the disease after their return from and who responded well to treatment with albendazole.

Introduction: Cutaneous larva migrans (CLM) is a parasitic infestation that commonly occurs in warm climates among people who have contact with contaminated soil. This is caused by the migration of hookworm larvae into human skin. Clinically, itchy, erythematous, linear serpiginous tracts appear within days to months after exposure to infected sand or soil. Diagnosis is based on clinical presentation. CLM can heal on its own and usually resolves within a few weeks to several months without treatment . Case report: This case report is about a 30-year-old female patient with complaints of itching on the little finger of the left foot since 4 days ago accompanied by multiple erythematous papules with serpiginous arrangement, the surface of the left dorsal leg. Conclusion: CLM associated with hookworm is diagnosed clinically based on the typical clinical appearance, as well as a history of travel to endemic areas and exposure to contaminated soil/sand.

Hookworms on occasion cause creeping lesions in the superficial layers of the human skin that have been designated as cutaneous larva migrans for the purpose of contrasting the condition with visceral larva migrans. Currently, the disease is presenting most commonly to physicians specializing in tropical or travel medicine in patients who have just visited a tropical beach and are presenting with serpiginous tracks in their skin. The serpiginous tracts can persist for week, and are often pruritic, may be associated with accompanying bulla, and can rarely lead to secondary sequelae. The larval are likely to penetrate ultimately to deeper tissues, where they may be persisting in the tissues of humans in the same fashion as they would within the tissues of any other vertebrate paratenic host.Most hookworm larvae are capable of penetrating the skin and causing lesions that are similar to cutaneous larvae migrans. However, the geographic distribution of cases still seems to suggest that only one species, A. braziliense, is the offending species. The other species appear to spend less time in the skin of the human host, and if they do cause lesions, they appear to produce lesions that are more vesicular or that cause disease of a markedly shorter duration. It seems that the development of improved molecular methods will ultimately lead to the means of more carefully discrimination the geographical location of the offending species and may someday be able to identify specific larvae from lesions.There are other manifestations of zoonotic hookworm infection. These include the infection of the human intestinal tract with the adults of the canine/feline hookworm Ancylostoma ceylanicum; the induction of cases of eosinophilic colitis in people with the canine hookworm, Ancylostoma caninum; suspected cases of ocular larva migrans due to hookworm larvae, and the rare case of cutaneous larva migrans due to hookworm species that are only rarely associated with human infections.