Larva currensB78.11
DefinitionThis section has been translated automatically.
Autoinoculation by Strongyloides stercoralis (dwarf threadworm), which can be regarded as a special form of larva migrans pathognomonic for strongyloidosis. Further details see below strongyloidosis.
Occurrence/EpidemiologyThis section has been translated automatically.
The infections are mainly observed in South East Asia.
Clinical featuresThis section has been translated automatically.
Single or multiple, band-like, elongated, recurrent, urticarial duct structures that develop within hours to days and have a particularly high migration rate (up to 10 cm/day) compared to infections with ankylostoma species (hookworms). The clinical symptoms persist for only a few hours, but recur regularly within a few months.
TherapyThis section has been translated automatically.
- Ivermectin (Mectizan) 150-200 µg/kg bw as ED, repetition of therapy after 3 weeks due to frequent reinfection is recommended.
- Alternatively: Tiabendazol (e.g. Mintezol) 2 times 25 mg/kg bw/day for 2-3 days.
- Alternatively: Albendazole (e.g. Eskazole) 400 mg/day for 3 days.
LiteratureThis section has been translated automatically.
- Bravo F et al (2003) New and re-emerging cutaneous infectious diseases in Latin America and other geographic areas. Dermatol Clin 21: 655-668
- Caumes E et al (1994) Efficacy of ivermectin in the therapy of larva currens. Arch Dermatol 130: 932
- Ly MN et al (2003) Cutaneous Strongyloides stercoralis infection: an unusual presentation. J Am Acad Dermatol 49: S157-160