Abstract

BACKGROUND: Cutaneous larva migrans (CLM) or creeping eruption is a helminthic
infection most commonly found in tropical and subtropical geographic areas acquired by
walking barefoot on ground contaminated with dog and cat’s faeces. CLM is an
erythematous, serpiginous, cutaneous eruption caused by accidental percutaneous penetration
and subsequent migration of larvae.
CASE DESCRIPTION: A 48-year-old male presented with history of Itching on the left
ankle for the past two weeks and red raised fluid filled lesion on left ankle for the past seven
days. On examination a single well defined flesh colorededematousserpiginous tract was seen
on the lateral aspect of the left ankle. Histopathology demonstrated basket weave stratum
corneum and subcorneal and intraepidermalclefting.The patient was given 12 mg single dose
of Ivermectin and albendazole 400 mg single dose for 5 days.
CONCLUSION: The diagnosis of CLM is usually based on the typical clinical presentation,
which consists of a pruritic, serpiginous lesion that advances in a patient with a history of
walking barefoot.