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. 2015 Aug;69(4):271-273.
doi: 10.5455/medarh.2015.69.271-273. Epub 2015 Aug 4.

Falls in Diagnosis of Cutaneous Larva Migrans-a Case Report from Kosovo

Fatime Kokollari  1   2 , Antigona Gërçari  1   2 , Ymrane Blyta  1   2 , Qëndresë Daka  2 , Afërdita Krasniqi-Daka  1   2
Affiliations

Falls in Diagnosis of Cutaneous Larva Migrans-a Case Report from Kosovo

Fatime Kokollari et al. Med Arch. 2015 Aug.

Abstract

Introduction: Cutaneous larva migrans (CLM) is a dermatitis caused by hookworm larvae inoculation in the skin, most commonly acquired among individuals in tropical and sub-tropical areas or travelers who have visited those areas. The typical clinical presentation consists of itchy serpiginous lesion that advances.

Case report: We are reporting a long time misdiagnosed case of a 37-year-old farmer from continental European region with a typical clinical presentation, and no history of traveling to endemic areas. We made the diagnosis of the CLM based on the patient's history of itchy skin that had advanced for a few months, and clinical characteristics of the lesion in the right gluteus region consisting of erythema, papula and vesicles, together with erythematous/livid serpiginous tracks that formed an irregular and capricious path. The patient was successfully treated with oral mebendazole twice daily for three days and local therapy.

Keywords: Cutaneous larva migrans; continental region; misdiagnosed.

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Conflict of interest statement

CONFLICTS OF INTEREST: NONE DECLARED.

Figures

Figure 1
Figure 1
Dermatological examination showed typical erythematous/livid serpiginous tracks, erythema, papula and vesicles on the right gluteus region.
See this image and copyright information in PMC

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