A Worm; Not A Germ: Managing Cutaneous Larva Migrans at Kuang Health Clinic, Selangor, Malaysia

Main Article Content

Jeyaratnam Jeyaprakasam
Nantha Kumar Jeyaprakasam


Cutaneous larva migrans are serpiginous erupting skin lesions infected by hookworm larvae, usually acquired in tropical and subtropical countries. Humans are usually infected with the larvae of the hookworm by walking barefoot on moist soft soil that had been contaminated with animal faeces. The usual sites of infection are distal extremities or buttocks. We report a case of 52-year-old Indonesian male who was infected with cutaneous larva migrans on the right hand after going for squirrel hunting in the nearby woods 3 days prior. He was initially misdiagnosed with typical bacterial skin infection and treated with antihistamines and antibiotic topical cream for 5 days with no significant improvement. Upon re-examination, the patient was diagnosed with cutaneous larva migrans and was successfully treated at our health clinic. It is important to be aware of the patient’s skin presentation, as earlier detection leads to good prognosis and reduced morbidity. Basic preventive efforts such as wearing slippers, deworming of pets and avoid sitting or lying on wet soil/sand are crucial in preventing the occurrence of this disease. To the best of our knowledge, this is a rare case reported in Kuang district, Selangor, Malaysia. 

Cutaneous larva migrans, hookworms, albendazole, skin lesions

Article Details

How to Cite
Jeyaprakasam, J., & Jeyaprakasam, N. K. (2021). A Worm; Not A Germ: Managing Cutaneous Larva Migrans at Kuang Health Clinic, Selangor, Malaysia. Asian Journal of Medical Case Reports, 3(1), 5-8. Retrieved from https://globalpresshub.com/index.php/AJMCR/article/view/1076
Case Reports


Bowman DD, Montgomery SP, Zajac AM, Eberhard ML, Kazacos KR. Hookworms of dogs and cats as agents of cutaneous larva migrans. Trends in Parasitology. 2010;26(4):162-7.

Brooker S, Bethony J, Hotez PJ. Human hookworm infection in the 21st century. Advances in Parasitology. 2004;58:197.

Lesniak R. Cutaneous larva migrans. Dermatology Nursing. 2008;20(6).

Tekely E, Szostakiewicz B, Wawrzycki B, Kądziela-Wypyska G, Juszkiewicz-Borowiec M, Pietrzak A, Chodorowska G. Cutaneous larva migrans syndrome: a case report. Advances in Dermatology & Allergology/Postepy Dermatologii i Alergologii. 2013;30(2):119.

Velho PE, Faria AV, Cintra ML, Souza EM, Moraes AM. Larva migrans: a case report and review. Revista do Instituto de Medicina Tropical de São Paulo. 2003; 45(3):167-71.

Nurjahan MI, Tevaraj P. Rash in a foreign worker. Malaysian family physician: the official journal of the Academy of Family Physicians of Malaysia. 2016;11(2-3):39.

Karthikeyan K, Thappa DM. Cutaneous larva migrans. Indian Journal of Dermatology, Venereology, and Leprology. 2002;68(5):252.

Yavuzer K, Ak M, Karadag AS. A case report of cutaneous larva migrans. The Eurasian Journal of Medicine. 2010; 42(1):40.

Hochedez P, Caumes E. Hookworm-related cutaneous larva migrans. Journal of Travel Medicine. 2007;14(5):326-33.

Robson N. A case of cutaneous larva migrans acquired from soiled toilet floors in urban Kuala Lumpur. Medical Journal of Malaysia. 2008;63(4).

Maslin D, Wallace M. Cutaneous larva migrans with pulmonary involvement. BMJ Case Reports; 2018.

Veraldi S, Bottini S, Rizzitelli G, Persico MC. One-week therapy with oral albendazole in hookworm-related cutaneous larva migrans: a retrospective study on 78 patients. Journal of Dermatological Treatment. 2012;23(3): 189-91.

Caumes E. Treatment of cutaneous larva migrans. Clinical Infectious Diseases. 2000;30(5):811-4.

Rae ER, Maymone MB, Vashi NA. The basics: Skin types, definitions, and differentials. In The Dermatology Handbook. Springer, Cham. 2019;1-33.