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J Cutan Med Surg. 2015 Jul-Aug;19(4):412-5. doi: 10.1177/1203475415575247. Epub 2015 Mar 5.

Chronic Larva Currens Following Tourist Travel to the Gambia and Southeast Asia Over 20 Years Ago.

Author information

1
Division of Dermatology, Department of Medicine, University of Toronto, Toronto, Canada.
2
Division of Infectious Disease, Department of Medicine, University of Laval, Quebec City, Canada.
3
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.

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.

KEYWORDS:

migratory rash; parasitic infection; serpiginous rash; strongyloidiasis

PMID:
25775620
DOI:
10.1177/1203475415575247
[Indexed for MEDLINE]

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