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

Cutaneous larva migrans are serpiginous erupting skin lesions caused by hookworm larvae that are most commonly found in tropical and subtropical areas. Humans become infected with hookworm larvae by walking barefoot on moist soft soil that has been polluted with animal faeces. The distal extremities or buttocks are the most common sites of infection. We present the case of a 52-year-old Indonesian man who had cutaneous larva migrans on his right hand three days after going squirrel hunting in the neighbouring woods. He was misdiagnosed with a typical bacterial skin infection and treated for 5 days with antihistamines and antibiotic topical cream with no notable improvement. The patient was diagnosed with cutaneous larva migrans after a re-examination and was effectively treated at our health facility. It's critical to be aware of the patient's skin appearance because early discovery leads to a better prognosis and lower morbidity. Wearing slippers, deworming dogs, and avoiding sitting or lying on damp soil/sand are all important steps in limiting the spread of this disease. This is a rare incidence documented in Kuang district, Selangor, Malaysia, to the best of our knowledge.

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