2014, Number 2
Cutaneous larva migrans: report of four cases
Pérez RMV, Rodríguez FOM, Barceló RBM, Sanchén CA
Language: Spanish
References: 13
Page: 218-225
PDF size: 94.53 Kb.
ABSTRACT
Background: cutaneous larva migrans is a parasitosis that constitutes a frequent zoonosis in tropical areas. It is produced by the penetration and movement through the skin of larvae of nematodes, like Ancylostoma brazilensis and Ancylostoma caninum. It shows characteristic clinical manifestations and is diagnosed through macroscopic observation of serpiginous lesions under the skin. Causes are given by the contact with contaminated earth or sand, as it happens with the children who play in places like those.Objective: to report the findings of this parasitosis in children that belonged to two health areas in the municipality of Camagüey, during the period 2010-2013.
Clinical case: in the microbiology laboratory of the policlinic of pediatric specialties, four children aged 1, 2, 7, and 11 were diagnosed with cutaneous larva migrans. The first one presented lesions with perineal location, the second one in the back, the third one in the lower and upper extremities, and the fourth one in the gluteal and vulvar regions. In the four cases the lesions were characteristic and the undulating trajectory of the parasite through the skin could be observed. The four patients progressed satisfactorily with the antiparasitic treatment.
Conclusions: because of the discomfort and irritability that this parasitosis may cause, as well as its possible torpid evolution, it is important that the health areas take it into consideration in order to obtain a timely diagnosis and satisfactory treatment for the good of patients.
REFERENCES
González Martínez F, Mellado Peña MJ, González de Lara RA, García López Hortelano M, Villota Arrieta J, Subirats Fernández M. Larva migrans como diagnóstico diferencial de lesiones cutáneas en niños inmigrantes. An Ped Esp [Internet]. Ago 2010 [citado 25 Ene 2013];73(2):[aprox. 3 p.]. Disponible en: http:// bases.bireme.br/cgi-bin/wxislind.exe/iah/online/