Extensive cutaneous larva migrans with folliculitis mimicking multimetameric herpes zoster presentation in an adult traveler returning from Thailand.
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.
Malvy
Denis
D
Travel Clinics and Tropical Disease Unit, Department of Internal Medicine, Infectious Diseases and Tropical Medicine, University Hospital Center, Bordeaux, France.
Ezzedine
Khaled
K
Pistone
Thierry
T
Receveur
Marie-Catherine
MC
Longy-Boursier
Maïté
M
D000284:Administration, Oral; D000328:Adult; D000900:Anti-Bacterial Agents / Q000008:administration & dosage; D001530:Belgium; D003937:Diagnosis, Differential; D004359:Drug Therapy, Combination; D005499:Folliculitis / Q000150:complications / Q000175:diagnosis* / Q000188:drug therapy / Q000473:pathology; D006562:Herpes Zoster / Q000175:diagnosis; D006801:Humans; D007306:Insecticides / Q000008:administration & dosage; D007559:Ivermectin / Q000008:administration & dosage; D007815:Larva Migrans / Q000150:complications / Q000175:diagnosis* / Q000188:drug therapy / Q000473:pathology; D008297:Male; D010146:Pain / Q000209:etiology; D025762:Pristinamycin / Q000008:administration & dosage; D013785:Thailand; D014195:Travel
D000900:Anti-Bacterial Agents; D007306:Insecticides; D025762:Pristinamycin; D007559:Ivermectin