An unusual presentation of cutaneous larva migrans mimicking Tinea manus treated with permethrin 5% topical: A case report

Abstract

Cutaneous larva migrans (CLM) or so called creeping eruption is a skin infestation caused by percutaneous penetration of infectious larvae of Ancylostoma braziliense, Ancylostoma caninum, Uncinaria stenocephala, or Bunostomum phlebotomum. Typically presented as serpiginous or linear erythematous lesion, this case report describes an atypical presentation of CLM mimicking tinea manus. He was treated with antifungal but gave no response to it. Multiple dead helminth larvae was revealed by light microscope and histopathologic examination. Permethrin 5% topical was given as an alternative treatment and the symptoms resolved within 2 week. The patient admitted no side effects and was delighted to see the result.