Prolonged incubation period of Hookworm-related cutaneous larva migrans

A 58-year-old woman presented with a 10-day history of a pruritic rash and pain in the web space between the right first and second toe, extending laterally along the dorsal surface of her foot (Figure 1). Figure 1. Typical serpiginous lesion of cutaneous larva migransThree months before symptom onset she had walked barefoot on the beach in Grenada. She had no other relevant history. Physical examination revealed a serpiginous erythematous tract on the dorsal surface of the foot. She was diagnosed with Hookworm-related cutaneous larva migrans (HrCLM). Oral albendazole …