Cutaneous larva migrans (Hookworm)

Question 1

Cutaneous larva migrans is a parasitic skin infection caused by hookworm larvae that usually infest cats, dogs and other animals. Where does the parasitic skin infection typically infect?

1 - face
2 - hands
3 - bum
4 - feet

Answer 1

4 - feet

Most commonly on feet following walking on sand, but can also affect spaces between the toes, hands, knees and buttocks

Question 2

Where is Cutaneous larva migrans particularly prevalent?

1 - south east Asia
2 - Africa
3 - South America
4 - all of the above

Answer 2

4 - all of the above

Question 3

Which of the following features are true about the rash that presents in cutaneous larva migrans (Hookworm)?

1 - very itchy
2 - tingling or prickling sensation within 30 minutes of the larvae penetrating
3 - slightly raised Pink Snakelike description of rash
4 - Tracks are able t advance a few cm each day
5 - all of the above

Answer 3

5 - all of the above

Question 4

Do the larve in cutaneous larva migrans (Hookworm) infect and die in patients straight away?

Answer 4

• no

Once they have penetrated the host, they can lie dormant for weeks or months, or present straight away

Question 5

Does cutaneous larva migrans (Hookworm) always require treatment?

Answer 5

• no

Self limiting and typically resolves within 4-8 weeks

Question 6

Although cutaneous larva migrans (Hookworm) doesnt typically need treating, which of the following could be used to treat if required?

1 - doxycycline
2 - antihistamines
3 - topical steroids
4 - amoxicillin

Answer 6

2 - antihistamines
3 - topical steroids