Cutaneous Larva Migrans, "Creeping Eruption", a Parasitic Infection

Cutaneous Larva Migrans, "Creeping Eruption", is a parasitic infection by the hookworms: Strongyloides, Ancylostoma, and Necator. These hookworms are usually present in moist soil. Spread is therefore through unprotected contact with moist soil or sand harboring the hookworms and there eggs.  The lesions are red, itchy, and corsing-like/winding in nature ("serpiginous thread-like lesions"). This pattern is because of the growth and movement of the nematode larvae within the skin. Affects the hands, feet and buttocks.

Picture of Parasite Skin Infection

Picutre of Cutaneous Larva Migrans, showing the movement on the hookworm through the skin in red, irregularly.

Laboratory Diagnosis of Cutaneous Larva Migrans

History of contact with moist soil or sand and appearance of lesions in a serpent/winding-like fashion.

Treatment of Cutaneous Larva Migrans

Patients require treatment with ivermectin or thiabendazole.