[Cutaneous larva migrans: 34 outside cases].
Cutaneous larva migrans (CLM) is a frequent dermal disease in travelers, caused by larvae of nonhuman ancylostoma. We describe 34 outside cases of CLM diagnosed since January 1991 to June 2002. Nineteen male and female. Age: 35.7 years (20-60). The total number of CLM infestations was 73, 83.5% in feet. In five cases the cutaneous lesion was vesiculoampollous (14.7%). Ivermectin, utilized in 3 cases with a single dose of 12 mg, failed in one patient (33.3%). Thiabendazole was effective in 6 (85.7%) of 7 cases and 4 (57.1%) patients showed side effects. Albendazole at doses of 400 mg/ 12 hours/3 days was effective in 22 (84.6%) of 26 cases. Possibly it is advisable to use albendazole more than 3 days in order to prevent the failures (15.4%) as those in our series.
Puente Puente
S
S
Unidad de Medicina Tropical, Servicio de Enfermedades Infecciosas, Hospital Carlos III, Madrid. spuente.hciii@salud.madrid.org
Bru Gorraiz
F
F
Azuara Solís
M
M
Colomo Gómez
C
C
González Lahoz
J M
JM
D000328:Adult; D015766:Albendazole / Q000627:therapeutic use; D000871:Anthelmintics / Q000627:therapeutic use; D005260:Female; D005533:Foot Dermatoses / Q000175:diagnosis / Q000188:drug therapy / Q000453:epidemiology*; D006801:Humans; D007815:Larva Migrans / Q000175:diagnosis / Q000188:drug therapy / Q000453:epidemiology*; D008297:Male; D008875:Middle Aged; D013030:Spain / Q000453:epidemiology; D014195:Travel; D016896:Treatment Outcome
D000871:Anthelmintics; D015766:Albendazole