Cutaneous larva migrans

Cutaneous larva migrans is caused by animal hookworms. Animal hookworms penetrate the skin and migrate locally, causing red raised tracks which are intensely itchy. For photos of cutaneous larva migrans, see here. Although the condition is self-limiting, treatment alleviates symptoms. Use:

1ivermectin (adult and child 15 kg or more) 200 micrograms/kg orally with fatty food, as a single dose ivermectin ivermectin ivermectin

OR

2albendazole orally with fatty food, once daily for 3 days albendazole albendazole albendazole

adult: 400 mg

child 6 months or older and 10 kg or more: 400 mg

child 6 months or older and less than 10 kg: 200 mg.

Figure 1. Cutaneous larva migrans

Note: Cutaneous larva migrans from Ancylostoma braziliense (cat–dog Hookworm). Photo sourced with permission from Professor Bart Currie.

Note: Cutaneous larva migrans from Ancylostoma braziliense (cat–dog Hookworm). Photo sourced with permission from Professor Bart Currie.