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Cutaneous larva migrans in infants in the Adelaide Hills
Author(s) -
Black Michael D,
Grove David I,
Butcher Andrew R,
Warren Lachlan J
Publication year - 2010
Publication title -
australasian journal of dermatology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.67
H-Index - 53
eISSN - 1440-0960
pISSN - 0004-8380
DOI - 10.1111/j.1440-0960.2010.00696.x
Subject(s) - cutaneous larva migrans , buttocks , medicine , albendazole , perineum , strongyloides stercoralis , larva migrans , dermatology , veterinary medicine , helminths , helminthiasis , surgery , pathology , immunology
Four infants aged between 8 and 13 months presented between November 2002 and May 2006 with dermatitis of the lower abdomen, perineum or buttocks. All lived in semi‐rural properties in the Adelaide Hills and had not travelled outside South Australia. Wandering thread‐like serpiginous tracks were evident on examination, consistent with a diagnosis of cutaneous larva migrans. No abnormalities were detected on full blood examination, Strongyloides stercoralis serology or faecal analysis. Treatment with oral albendazole resulted in rapid resolution of symptoms. An epidemiological survey was undertaken which suggested possums or millipedes may have been the source of nematode larvae, the precise nature of which is unclear but could include Parastrongyloides trichosuri and Rhabditis necromena .