Creeping eruption: Understanding and preventing cutaneous larva migrans

Cutaneous larva migrans, also known as "creeping eruption," occurs when the larvae of hookworms, typically found in animals such as cats and dogs, penetrate the human skin. This often leads to an itchy and serpiginous rash.

Prevalence in Europe: Cutaneous larva migrans remains relatively uncommon in Europe. Most cases occur among travelers returning from tropical and subtropical regions, where the infection is endemic. Warm and moist conditions in these regions provide an ideal environment for hookworm larvae.

Symptoms: The primary symptom includes a red, winding rash on the skin, usually accompanied by severe itching. The migrating larvae leave visible tracks, and the affected area often becomes swollen and painful.

Treatment: Doctors typically treat cutaneous larva migrans with antiparasitic medications like albendazole or ivermectin, which effectively kill the larvae. Antihistamines and topical corticosteroids help alleviate itching and inflammation. With appropriate treatment, the infection often clears up within a few weeks.

Frequency: Although cutaneous larva migrans is not frequently encountered in Europe, the risk increases for those traveling to endemic regions. The disease is more prevalent in areas with warm climates, such as parts of Africa, the Americas, and Asia.

Prevention: Preventing cutaneous larva migrans involves several key measures:

• Avoid direct skin contact with soil or sand: Especially in areas known to harbor hookworms.
• Wear protective footwear: Particularly in tropical and subtropical regions.

Public health initiatives in endemic areas focus on treating infected animals and improving sanitation to reduce the prevalence of hookworm larvae in the environment.

Conclusion: Though cutaneous larva migrans is rare in Europe, awareness and preventive measures remain crucial for travelers to endemic regions. Prompt treatment with antiparasitic medications ensures a quick recovery, and taking simple precautions significantly reduces the risk of infection.