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Cutaneous Larva Migrans

Case Report with Current Recommendations for Treatment

Jonathan C. O’Quinn, DPM, MS ^* and Robert Dushin, DPM 

^* Community Health Partners Regional Medical Center, Lorain, OH.
The Cleveland Clinic Foundation, Westlake, OH.

Corresponding author: Jonathan C. O’Quinn, DPM, MS, 8167 Lowell Valley Dr, Bahama, NC 27503.

Abstract

Cutaneous larva migrans is a common skin pathology that occurs in people who have recently visited tropical or subtropical climates. Given the ubiquity of this condition, the podiatric physician may encounter cutaneous larva migrans during clinical practice and should be cognizant of the presenting signs and typical patient history given in these cases. We describe the case of a 62-year-old man who presented with a pruritic, erythematous, serpiginous lesion on the dorsum of his left foot after having vacationed in Florida for several weeks. The patient was treated successfully with oral thiabendazole, 500 mg after meals 4 times daily for 5 days. (J Am Podiatr Med Assoc 95(3): 291–294, 2005)