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Cutaneous Larva Migrans
Geoff Meers





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Last Modified 1/4/99

Cutaneous Larva Migrans

Cutaneous larva migrans is a characteristic itchy creeping skin eruption, usually of the foot. It is due to a dog or pig hookworm.(Ancylostona Braziliensis or A. Carinum) which becomes 'lost' in the skin, unable to leave the skin and mature. There is a history of walking barefoot in sand or dirt in the tropics. Cryotherapy is often ineffective and albendazole 400mg daily for three to five days is curative. Having recently received 100 albendazole tablets at cost price from Smith Kline & Beecham (thank you!), I have 90 unused. Anyone with a patient with this condition may contact me to get access to the tablets at cost price, as 100 tablets retail for $210.88! Geoff Meers (Ph. 6621 7176)

PS. Albendazole is also indicated for Ascaris, human hookworm, trichuris, strongyloides and liver flukes.



Discussion
Cutaneous Larva Migrans
Cutaneous Larva Migrans

Jenny Senior, seniormark@hotmail.com
Posted 4/3/00 2:54 AM


I have recently returned from Barbados with my three children.
Two of the children have been diagnosed with Cutaneuos Larva Migrans. They have seen a specalist in the UK and ufortunately the treatment available has to be orderd from the stataes. My concern is waitng ten days or so before we can apply the treatment. Can you please tell me if my children are in any way going to suffer from this delay.
The eldest child is suffering from servere itching which i am treating with Priton.
Both have the condition in their feet.
Thankyou for your time.



penny clay, penny.clay@masons.com
Posted 3/5/00 10:43 PM


I returned from Barbados 8 weeks ago and am still suffering with Larva Migrans. Unfortunately I got it on my breast.
For three weeks I was treated for shingles, since being diagnosed I have been having liquid nitrogen treatment weekly, and today (as it shows no signs of going) I have been prescribed 'albendazole'.
I cannot afford to buy it privately and am trying (in vain) to get it on the NHS.
Any suggestions to make it more affordable?



penny clay, penny.clay@masons.com
Posted 3/5/00 10:42 PM


I returned from Barbados 8 weeks ago and am still suffering with Larva Migrans. Unfortunately I got it on my breast.
For three weeks I was treated for shingles, since being diagnosed I have been having liquid nitrogen treatment weekly, and today (as it shows no signs of going) I have been prescribed 'albendazole'.
I cannot afford to buy it privately and am trying (in vain) to get it on the NHS.
Any suggestions to make it more affordable?



valeria czel, castanhari_eua@hotmail.com
Posted 10/7/2000 2:47 AM


I am having hair lost around my ear and in the top of my head, Iam beeing treated with cortizone injeccions for three months and nothing is happening, a person told me that can be larva migrans, is this possible, since if I do not have the caracteristics of that?



samantha, ejd30501@yahoo.com
Posted 23/8/2000 12:11 PM


I just returned from my honeymoon and have been diagnosed with cutaneous larva migrans. Severe itching on my feet. Traces of red lined pathways. Just had my first liquid nitrogen. This is aweful. Does it go away?

Samantha



Ashley, ashdeal@hotmail.com
Posted 25/8/2000 10:26 AM


I went to Jamaica for my honeymoon, never realizing I could get something so miserable. My right foot started itching 1 week after I returned to the U.S. I was mis-diagnoised 3 times. The first doctor said I had a severe case of athlete's foot. The second said either poision ivy or shingles. The third don't even ask - something that causes diabetes and breast cancer. By the third quack I was ready to give up. The next doctor did diagnois me with cutaneous larva migrans. He cut my foot in three places, removing a portion of the larva. The next day, I still had the red raised pathlines from the cuts and on several other toes. I am taking mintezol 500 mg. 2 and 1/2 tablets twice a day for 2 days. It doesn't seem like it is working. Does it? Any suggestions? I was told by others it sounds like scabies. What is the difference between the two?



magda, banospaz@prodigy.net.mx
Posted 27/9/2000 10:22 AM


I went to Acapulco and i have on my breast and chest cutaneous larva migrans is this dangerous?.
The pohisician gave me albendazole for three days is this oK? I also have a dog but he is a puppy and he has been desparasitated



KD, kdwyer1@erols.com
Posted 3/10/2000 11:33 AM


I had a strange rash on my inner thigh about a year and a half ago. It was diagnosed as a general contact dermatitis. It subsided on its own, but a similar rash has appeared on the underside of my upper arm. This time, my doctor thinks it is cutaneous larva migrans and is treating me with a topical thiabendazole salve. I am concerned because I suffered a miscarriage about one month ago (10 weeks into the pregnancy) and wonder if the parasite infection could have been responsible. Also, there is a possibility that I may have conceived again just prior to my diagnosis and treatment of cutaneous larva migrans. Could the infection or treatment harm a fetus?



Audrey, briteness@hotmail.com
Posted 21/10/2000 12:24 AM


Hello,

I just returned from my honeymoon is St-Lucia and I too have been diagnosed with Cutaneous Larva Migrans. I am taking Mintezol for 2 days, I just started last night, my Dr. said that if it doesn't feel better in two days, I will get another prescription for 2 more days.



Jim Hillier, Jim.Hillier@landg.com
Posted 2/11/2000 1:56 AM


My unfortunate girlfriend picked up Larva Migrans while on holiday in Jamaica in October 2000. It had infected her right foot which started itching shortly before we returned from the Caribbean but has recently 'spread' to the left some 2 weeks later.
She was wrongly diagnosed by several doctors, until the team at the Brighton A+E were addressed with the problem. They quickly made an accurate diagnosis and we have been waiting for the prescribed drug that will kill the blighters for 3 days now (the Hospital Pharmacy is having trouble obtaining it) as the liquid nitrogen treatment seemed a little extreme as well as potentially ineffective.
My advice to anyone going to the tropics is to wear sandals AT ALL TIMES - especially on the beach.



Thea Obstler, tko_37@yahoo.com
Posted 17/12/2000 8:03 AM


I have just returned from the Glitter Bay resort in Barbados. My duaghter and I have been diagnosed with cutaneous larva migrans. We took the Mintezol. We are not convinced that it is gone (we are both still itching), but are reluctant to take the excruciating oral systemic drug again. Any topical options?





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