从热带旅行中输入的皮肤幼虫移行症 - 病例报告和文献复习。
Cutaneous larva migrans imported from a tropical trip - Case report and literature review.
机构信息
Department of Medical Biology and Biochemistry, L. Rydygier Collegium Medicum in Bydgoszcz, Nicolaus Copernicus University in Toruń, Bydgoszcz, Poland.
Department of Cosmetology and Aesthetic Dermatology, L. Rydygier Collegium Medicum in Bydgoszcz, Nicolaus Copernicus University in Toruń, Bydgoszcz, Poland.
出版信息
Ann Agric Environ Med. 2021 Dec 29;28(4):709-712. doi: 10.26444/aaem/131600. Epub 2020 Dec 30.
INTRODUCTION
Cutaneous larva migrans (CLM) is a zoonotic disease caused by hookworms characteristic of tropical and subtropical regions. In Poland, new cases appear every year in patients who have travelled to tropical areas. Most of the cases are initially under-diagnosed, which results in a delay in starting proper treatment.
CASE REPORT
A 49-year-old woman presented to the Outpatient Dermatology Clinic with a pruritic and fibrous cutaneous lesion on the plantar region of her left foot. She had returned from a tourist trip to Honduras one week before the skin lesion erupted.
RESULTS
The diagnosis of CLM due to Ancylostoma sp. infestation was confirmed. Locally applied cryotherapy was ineffective. The oral treatment of albendazole resulted in complete resolution of the symptoms without recurrence after a 6-month follow up period.
CONCLUSIONS
CLM should be considered in travellers to tropical countries. Oral anti-parasitic agents seem to be more effective than topical treatment for dermatosis.
简介
皮肤幼虫移行症（CLM）是一种由钩虫引起的人畜共患疾病，特征为热带和亚热带地区。在波兰，每年都会有前往热带地区旅行的患者出现新的病例。大多数病例最初被误诊，导致开始适当治疗的时间延迟。
病例报告
一名 49 岁女性因左足底有瘙痒性纤维状皮损而到皮肤科门诊就诊。她在皮损出现前一周从洪都拉斯的一次旅行中返回。
结果
诊断为由于Ancylostoma sp.感染引起的 CLM。局部应用冷冻疗法无效。口服阿苯达唑治疗导致症状完全缓解，在 6 个月的随访期间无复发。
结论
前往热带国家的旅行者应考虑 CLM。口服抗寄生虫药物似乎比局部治疗皮肤病更有效。
Zotero 插件