Black Michael D, Grove David I, Butcher Andrew R, Warren Lachlan J
Department of Dermatology, The Women's & Children's Hospital, North Adelaide, South Australia, Australia.
Australas J Dermatol. 2010 Nov;51(4):281-4. doi: 10.1111/j.1440-0960.2010.00696.x. Epub 2010 Sep 29.
Four infants aged between 8 and 13 months presented between November 2002 and May 2006 with dermatitis of the lower abdomen, perineum or buttocks. All lived in semi-rural properties in the Adelaide Hills and had not travelled outside South Australia. Wandering thread-like serpiginous tracks were evident on examination, consistent with a diagnosis of cutaneous larva migrans. No abnormalities were detected on full blood examination, Strongyloides stercoralis serology or faecal analysis. Treatment with oral albendazole resulted in rapid resolution of symptoms. An epidemiological survey was undertaken which suggested possums or millipedes may have been the source of nematode larvae, the precise nature of which is unclear but could include Parastrongyloides trichosuri and Rhabditis necromena.
2002年11月至2006年5月期间，有4名年龄在8至13个月的婴儿出现了下腹、会阴或臀部的皮炎。他们都居住在阿德莱德山的半乡村地区，且未曾离开南澳大利亚州。检查时可见蜿蜒的线状游走性痕迹，符合皮肤幼虫移行症的诊断。全血检查、粪类圆线虫血清学检查或粪便分析均未发现异常。口服阿苯达唑治疗后症状迅速缓解。进行的一项流行病学调查表明，负鼠或千足虫可能是线虫幼虫的来源，其确切种类尚不清楚，但可能包括毛圆线虫和坏死类圆线虫。
