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

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 damp 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 normal bacterial skin infection and treated for 5 days with antihistamines and antibiotic topical cream with no notable improvement. The patient was identified with cutaneous larva migrans after a re-examination and was effectively treated at our health centre.

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