title: Chronic Larva Currens Following Tourist Travel to the Gambia and Southeast Asia Over 20 Years Ago.
abstract: Larva currens is the cutaneous manifestation of human infection with the geotropic helminth Strongyloides stercoralis. Strongyloidiasis is a lifelong infection unless treated. A high index of suspicion is needed to prevent chronic symptoms of strongyloidiasis (eg, larva currens, eosinophilia, abdominal discomfort) and to prevent fatal dissemination. We present a case of chronic larva currens following tourist travel to the Gambia and Southeast Asia>20 years ago. This case highlights several important features of larva currens and strongyloidiasis, including the chronicity of symptoms, the rapidity of the migratory serpiginous rash, and the absence of high-grade eosinophilia.
authors.affiliation: Division of Dermatology, Department of Medicine, University of Toronto, Toronto, Canada.
authors.forename: Kristy E
authors.initials: KE
authors.lastname: Bailey
authors.affiliation: Division of Infectious Disease, Department of Medicine, University of Laval, Quebec City, Canada.
authors.forename: Alexis
authors.initials: A
authors.lastname: Danylo
authors.affiliation: Tropical Disease Unit, Division of Infectious Diseases, Department of Medicine, University Health Network and the University of Toronto, Toronto, Canada Laboratory Services, Public Health Ontario, Toronto, Canada andrea.boggild@utoronto.ca.
authors.forename: Andrea K
authors.initials: AK
authors.lastname: Boggild
mesh_terms: D000818:Animals; D001210:Asia, Southeastern; D002908:Chronic Disease; D005260:Female; D005714:Gambia; D006801:Humans; D007717:Knee / Q000469:parasitology / Q000473:pathology; D007815:Larva Migrans / Q000469:parasitology* / Q000473:pathology; D008875:Middle Aged; D017171:Strongyloides stercoralis / Q000302:isolation & purification*; D013322:Strongyloidiasis / Q000469:parasitology* / Q000473:pathology; D014195:Travel
keywords: migratory rash; parasitic infection; serpiginous rash; strongyloidiasis