Revista Clínica Española (English Edition) Revista Clínica Española (English Edition)
Rev Clin Esp 2004;204:636-9 - Vol. 204 Num.12
Larva migrans cutánea: 34 casos importados
Cutaneous larva migrans: 34 outside cases
S. Puente Puentea, F. Bru Gorraizb, M. Azuara Solísc, C. Colomo Gómezb, J M. González Lahoza
a Unidad de Medicina Tropical. Servicio de Enfermedades Infecciosas. Hospital Carlos III. Madrid.
b Centro Integrado de Salud. Ayuntamiento de Madrid.
c Sanidad Exterior. Madrid.
Abstract
Cutaneous larva migrans (CLM) is a frequent dermal disease in travelers, caused by larvae of nonhuman ancylostoma. We describe 34 ouside cases of CLM diagnosed since January 1991 to June 2002. Nineteen male and female. Age: 35.7 years (20-60). The total number of CLM infestations was 73, 83.5% in feet. In five cases the cuatenous lesion was vesiculoampollous (14.7%). Ivermectin, utilized in 3 cases with a single dose of 12 mg, failed in one patient (33.3%). Thiabendazole was effective in 6 (85.7%) of 7 cases and 4 (57.1%) patients showed side effects. Albendazole at doses of 400 mg/ 12 hours/3 days was effective in 22 (84.6%) of 26 cases. Possibly it is advisable to use albendazole more than 3 days in order to prevent the failures (15.4%) as those in our series.
Palabras clave
larva migrans cutánea, viajeros, albendazol
Keywords
cutaneous larva migrans, traveling, albendazole
Rev Clin Esp 2004;204:636-9 - Vol. 204 Num.12