Description

Filariform larvae of the dog or cat hookworm can penetrate the skin of humans, Their migrations result in cutaneous larva migrans (CLM, "creeping eruption").


 

Species: Ancylostoma braziliense, Ancylostoma caninum

 

Exposure: feces from dog and/or cat with hookworms, typically when walking barefoot on moist soil or sand during warm weather

 

Clinical features:

(1) pruritic red papule at the site of skin penetration

(2) migration of the larva in the dermis results in a serpiginous track with adjacent inflammation and edema

(3) pruritis along the tracks, with scratching

(4) eosinophilic pneumonitis if the larvae traverses the lung

 

Complications: bacterial infections at the sites of scratching

 

Laboratory findings:

(1) variable eosinophilia

(2) eosinophils in the sputum

(3) larvae in sputum

(4) serologic detection of antibody

(5) PCR

 


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