Baple Katy, Clayton James
Department of Microbiology, Royal Surrey County Hospital, Guildford, UK.
BMJ Case Rep. 2015 Nov 13;2015:bcr2015210165. doi: 10.1136/bcr-2015-210165.
Hookworm-related cutaneous larva migrans (HrCLM) is a skin disease caused by infection with the larvae of animal hookworms. With conditions for infection more favourable in tropical climates, HrCLM in the UK is classically diagnosed in the returning traveller. We present two cases of clinically diagnosed UK-acquired HrCLM from a district general hospital in the south of England. A 68-year-old woman presented with a pruritic serpiginous tract on the right hand. She was a keen gardener and had been handling compost. A 50-year-old man, a long distance runner, presented with a similar lesion on the dorsum of his foot. Both patients were treated with a single dose of albendazole. These cases may represent an emerging infection in the UK. In the absence of a suggestive travel history, early recognition followed by efficient access to therapy is vital for treating HrCLM transmitted in the UK.
钩虫相关的皮肤幼虫移行症（HrCLM）是一种由动物钩虫幼虫感染引起的皮肤病。由于热带气候更有利于感染，在英国，HrCLM通常在归国旅行者中被诊断出来。我们报告了来自英格兰南部一家地区综合医院的两例临床诊断为在英国感染的HrCLM病例。一名68岁女性右手出现瘙痒性蜿蜒的皮损。她是一位园艺爱好者，一直在处理堆肥。一名50岁男性，长跑运动员，足部背侧出现类似皮损。两名患者均接受了单剂量阿苯达唑治疗。这些病例可能代表了英国一种新出现的感染。在没有提示旅行史的情况下，早期识别并随后有效获得治疗对于治疗在英国传播的HrCLM至关重要。
