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Case Report

Med Arch. 2015; 69(4): 271-273

Falls in Diagnosis of Cutaneous Larva Migrans–a Case Report from Kosovo

Fatime Kokollari, Antigona Gërçari, Ymrane Blyta, Qëndresë Daka, Afërdita Krasniqi- Daka.


INTRODUCTION: Cutaneous larva migrans (CLM) is a dermatitis caused by hookworm larvae inoculation in the skin, most commonly acquired among individuals in tropical and sub-tropical areas or travelers who have visited those areas. The typical clinical presentation consists of itchy serpiginous lesion that advances. CASE REPORT: We are reporting a long time misdiagnosed case of a 37-year-old farmer from continental European region with a typical clinical presentation, and no history of traveling to endemic areas. We made the diagnosis of the CLM based on the patient’s history of itchy skin that had advanced for a few months, and clinical characteristics of the lesion in the right gluteus region consisting of erythema, papula and vesicles, together with erythematous/livid serpiginous tracks that formed an irregular and capricious path. The patient was successfully treated with oral mebendazole twice daily for three days and local therapy.

Key words: Cutaneous larva migrans, misdiagnosed, continental region.

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