CUTANEOUS LARVA MIGRANS – DIAGNOSTIC DIFFICULTIES IN THE NON-ENDEMIC AREA. CASE REPORT
Abstract:
Patient aged 68 years, chronic hypertensive, came to the medical office due to an intensely
pruritic, serpiginous lesion that had occurred within the hand’s thenar eminence approximately 10 days
before. The patient recounts that further to the agricultural works (vineyard harvesting) he noticed the
occurrence of a 2-3 mm papule within his hand’s thenar eminence accompanied by intense itching. An
inflammatory, serpiginous tract subsequently occurred which grew by approximately 1 cm per day.
Further to the clinical examination performed by the family physician, the dermatologist and the
infectious diseases consultant, on the basis of the clinical manifestations and the lesion progression,
combined with the paraclinical examination, the cutaneous larva migrans diagnostic was established.
Conclusions: The presentation of the cutaneous larva migrans cases would contribute to an early and
correct diagnostic of such cases of parasitosis that are specific to tropical areas and which are
occasionally encountered in non-endemic areas such as Europe.
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