Extensive cutaneous larva migrans with folliculitis mimicking multimetameric herpes zoster presentation in an adult traveler returning from Thailand

J Travel Med. 2006 Jul-Aug;13(4):244-7. doi: 10.1111/j.1708-8305.2006.00040.x.

Abstract

Hookworm-related cutaneous larva migrans (CLM) is a frequent cutaneous disease among travelers returning from the tropics. It can be misdiagnosed or treated incorrectly. We present a 42-year-old French patient who contracted the disease during a holiday in Thailand and who experienced an extensive CLM syndrome with a less frequent abdominal localization and a pseudo-multimetameric homolateral topography. The condition was late diagnosed and secondarily efficiently cured by a unique administration of ivermectin. Simple anamnestic information--often revealing beach activities--and clinical aspect of the creeping eruption allow to prevent diagnosis delay and to avoid aggressive or inadequate intervention.

Publication types

  • Case Reports

MeSH terms

  • Administration, Oral
  • Adult
  • Anti-Bacterial Agents / administration & dosage
  • Belgium
  • Diagnosis, Differential
  • Drug Therapy, Combination
  • Folliculitis / complications
  • Folliculitis / diagnosis*
  • Folliculitis / drug therapy
  • Folliculitis / pathology
  • Herpes Zoster / diagnosis
  • Humans
  • Insecticides / administration & dosage
  • Ivermectin / administration & dosage
  • Larva Migrans / complications
  • Larva Migrans / diagnosis*
  • Larva Migrans / drug therapy
  • Larva Migrans / pathology
  • Male
  • Pain / etiology
  • Pristinamycin / administration & dosage
  • Thailand
  • Travel*

Substances

  • Anti-Bacterial Agents
  • Insecticides
  • Pristinamycin
  • Ivermectin