Tianyi Frank-Leonel, Agbor Valirie Ndip, Kadia Benjamin Momo, Dimala Christian Akem
Mayo-Darlé Sub-divisional Hospital, Banyo, Adamawa Region, Cameroon.
Ibal sub-Divisional Hospital, Oku, North west Region, Cameroon.
J Med Case Rep. 2018 Sep 20;12(1):270. doi: 10.1186/s13256-018-1792-y.
Cutaneous larva migrans is a neglected zoonotic helminthic disease which is paradoxically underreported in low-income and middle-income countries from where a majority of the cases emanate. It presents as migratory, raised, erythematous serpentine lesions, responsive to treatment with antihelminthics. It is common in children, but rare in babies. We report an unusual case of cutaneous larva migrans in a Cameroonian baby.
We report the case of a 9-month-old Cameroonian baby girl, whose mother had the habit of drying the child's clothes on the grass in her courtyard. The child was brought to our hospital after she developed itchy, snake-like, slowly progressing lesions on her abdomen and chest. An examination revealed multiple raised serpentine and erythematous skin lesions consistent with cutaneous larva migrans which subsided on antihelminthic and antihistaminic therapy.
Cutaneous larva migrans is an endemic disease with predilection for poor and vulnerable persons. Preventive efforts such as wearing of slippers, usage of drying lines, and deworming of pets are crucial in preventing the occurrence of this disease and should be encouraged.
皮肤幼虫移行症是一种被忽视的人畜共患蠕虫病，矛盾的是，在大多数病例起源的低收入和中等收入国家，该病报告不足。其表现为游走性、隆起的、红斑样蜿蜒状皮损，对抗蠕虫药治疗有反应。该病在儿童中常见，但在婴儿中罕见。我们报告一例喀麦隆婴儿患皮肤幼虫移行症的罕见病例。
我们报告一名9个月大的喀麦隆女婴病例，其母亲有在自家院子草地上晾晒孩子衣服的习惯。该患儿在腹部和胸部出现瘙痒、蛇样、缓慢进展的皮损后被带到我院。检查发现多处隆起的蜿蜒状红斑样皮肤损害，符合皮肤幼虫移行症，经抗蠕虫药和抗组胺药治疗后消退。
皮肤幼虫移行症是一种地方病，易发生于贫困和弱势群体。诸如穿拖鞋、使用晾衣绳和给宠物驱虫等预防措施对于预防该病的发生至关重要，应予以鼓励。
