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LARVA MIGRANS, CUTANEOUS (Creeping Eruption)

LARVA MIGRANS, CUTANEOUS
(Creeping Eruption)

DESCRIPTION

Creeping eruption is a skin infestation of hookworm or roundworm larvae. These parasites usually infect dogs and cats. The skin areas that come in contact with the ground--usually the feet, legs, or buttocks -- are involved.
Appropriate health care includes:
  • Home care after diagnosis.
  • Physician's monitoring of general condition and medications.

    SIGNS & SYMPTOMS
    Skin rash or small blisters, progressing to thin raised lines on the child's skin leading from the parasite's entry point. The random lines create tunnel-like lesions that lengthen up to 1cm a day. Most children have several tracks simultaneously, each of a different length and pattern.

    CAUSES
    Infestation by larvae of hookworms and roundworms found in the intestinal tracts of dogs and cats.

    RISK FACTORS

  • Play in warm, moist sand in which cats or dogs have defecated.
  • Work or play that involves crawling in confined spaces and contact with infected soil, as under a house.

    PREVENTING COMPLICATIONS OR RECURRENCE

  • Teach your child to handle cat litter carefully and to avoid touching soil outside.
  • Urge your child not to play in soil used by cats and dogs for elimination.
  • Have pets treated for worms.

    BASIC INFORMATION

    MEDICAL TESTS

  • Your own observation of symptoms.
  • Medical history and physical exam by a doctor.

    POSSIBLE COMPLICATIONS

    Secondary bacterial infection of affected skin.

    PROBABLE OUTCOME
    Usually curable in 1 to 2 weeks with treatment.

    TREATMENT

    HOME CARE

    No specific instructions except those listed under other headings.

    MEDICATION
    Your doctor may prescribe:

  • Topical thiabendazole for local application in a 2% solution with dimethyl sulfoxide (DMSO). Follow instructions carefully. Apply it to the end of the track (farthest from the point of entry).
  • Oral thiabendazole for serious infestations by many larvae. This form causes your child to suffer adverse reactions and side effects.
  • See Medications section for information regarding medicines your doctor may prescribe.

    ACTIVITY
    No restrictions.

    DIET & FLUIDS
    No special diet.

    OK TO GO TO SCHOOL?

    Yes. This is not contagious.

    CALL YOUR DOCTOR IF

  • Your child has symptoms of larva migrans.
  • Skin lesions on your child develop pus, indicating secondary infection.
  • Your child takes oral thiabendazole and new, unexplained symptoms develop. ‡
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