Sudden emergence and spread of cutaneous larva migrans in Sudan: A case series calls for urgent actions
Cutaneous larva migrans (CLM) is a self-limiting dermatosis parasitic disease that is caused by zoonotic hookworm mainly infects cats, dogs, and accidentally humans. The disease affects hosts through the invasion and the migration of the hookworm larva into top layers of the skin. The disease occurs...
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| Format: | Article |
| Language: | English |
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Elsevier
2023-01-01
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| Series: | IDCases |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S2214250923001130 |
| _version_ | 1797809846379085824 |
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| author | Ayman Ahmed Maisa Aldai Hemaida Amel Ahmed Hagelnur Hala Fathi Eltigani Emmanuel Edwar Siddig |
| author_facet | Ayman Ahmed Maisa Aldai Hemaida Amel Ahmed Hagelnur Hala Fathi Eltigani Emmanuel Edwar Siddig |
| author_sort | Ayman Ahmed |
| collection | DOAJ |
| description | Cutaneous larva migrans (CLM) is a self-limiting dermatosis parasitic disease that is caused by zoonotic hookworm mainly infects cats, dogs, and accidentally humans. The disease affects hosts through the invasion and the migration of the hookworm larva into top layers of the skin. The disease occurs in tropical and subtropical regions; where people commonly are infected when sitting or barefoot walking on places contaminated with feces of infected cats or dogs. Due to self-limiting nature of the disease, the exact burden and prevalence are commonly underestimated. In this communication, we investigated all cases presented to the skin-diseases outpatient clinic’ at the reference hospital of Tropical Diseases Medicine in Khartoum state between January 2019 and January 2021. This is the first-ever a case series report of cutaneous larva migrans in Sudan. We identified 15 cases of CLM presented with rash (100 %), redness of skin (67 %), and only adults were presented with larva crawling under their skins (27 %). Infection sites were (53 %) leg, (40 %) foot, only 7 % showed abdominal infection. The majority of patients were children or young adults, 47 % of them are ≤5 year-old, male to female ratio is 2.75:1. Duration of infection was one to three weeks and all patients fully recovered after treatment with albendazole. This urges for One Health interventions including deworming cats and dogs, improving water, sanitation, and hygiene, community-engagement and raising awareness in area with risk of infection. |
| first_indexed | 2024-03-13T06:59:03Z |
| format | Article |
| id | doaj.art-6660fced79084aec9de02147dcd5f3b8 |
| institution | Directory Open Access Journal |
| issn | 2214-2509 |
| language | English |
| last_indexed | 2024-03-13T06:59:03Z |
| publishDate | 2023-01-01 |
| publisher | Elsevier |
| record_format | Article |
| series | IDCases |
| spelling | doaj.art-6660fced79084aec9de02147dcd5f3b82023-06-07T04:48:16ZengElsevierIDCases2214-25092023-01-0132e01789Sudden emergence and spread of cutaneous larva migrans in Sudan: A case series calls for urgent actionsAyman Ahmed0Maisa Aldai Hemaida1Amel Ahmed Hagelnur2Hala Fathi Eltigani3Emmanuel Edwar Siddig4Institute of endemic diseases, University of Khartoum, Khartoum, Sudan; Swiss Tropical and Public Health Institute (Swiss TPH), Allschwil, Switzerland; University of Basel, Petersplatz 1, Basel, SwitzerlandUnit of Applied Medical Sciences, Faculty of Medical Laboratory Sciences, University of Khartoum, Khartoum, SudanGeneral Director, Tropical Medicine Hospital, Omdurman, Khartoum State, SudanThe Mycetoma Research Center, University of Khartoum, Khartoum, SudanUnit of Applied Medical Sciences, Faculty of Medical Laboratory Sciences, University of Khartoum, Khartoum, Sudan; The Mycetoma Research Center, University of Khartoum, Khartoum, Sudan; ErasmusMC, University Medical Center Rotterdam, Department of Medical Microbiology and Infectious Diseases, Rotterdam, the Netherlands; Corresponding author at: Unit of Applied Medical Sciences, Faculty of Medical Laboratory Sciences, University of Khartoum, Khartoum, Sudan.Cutaneous larva migrans (CLM) is a self-limiting dermatosis parasitic disease that is caused by zoonotic hookworm mainly infects cats, dogs, and accidentally humans. The disease affects hosts through the invasion and the migration of the hookworm larva into top layers of the skin. The disease occurs in tropical and subtropical regions; where people commonly are infected when sitting or barefoot walking on places contaminated with feces of infected cats or dogs. Due to self-limiting nature of the disease, the exact burden and prevalence are commonly underestimated. In this communication, we investigated all cases presented to the skin-diseases outpatient clinic’ at the reference hospital of Tropical Diseases Medicine in Khartoum state between January 2019 and January 2021. This is the first-ever a case series report of cutaneous larva migrans in Sudan. We identified 15 cases of CLM presented with rash (100 %), redness of skin (67 %), and only adults were presented with larva crawling under their skins (27 %). Infection sites were (53 %) leg, (40 %) foot, only 7 % showed abdominal infection. The majority of patients were children or young adults, 47 % of them are ≤5 year-old, male to female ratio is 2.75:1. Duration of infection was one to three weeks and all patients fully recovered after treatment with albendazole. This urges for One Health interventions including deworming cats and dogs, improving water, sanitation, and hygiene, community-engagement and raising awareness in area with risk of infection.http://www.sciencedirect.com/science/article/pii/S2214250923001130Cutaneous larva migransSkin diseases ZoonosesIntegrated surveillance and Response systemOne HealthSudan |
| spellingShingle | Ayman Ahmed Maisa Aldai Hemaida Amel Ahmed Hagelnur Hala Fathi Eltigani Emmanuel Edwar Siddig Sudden emergence and spread of cutaneous larva migrans in Sudan: A case series calls for urgent actions IDCases Cutaneous larva migrans Skin diseases Zoonoses Integrated surveillance and Response system One Health Sudan |
| title | Sudden emergence and spread of cutaneous larva migrans in Sudan: A case series calls for urgent actions |
| title_full | Sudden emergence and spread of cutaneous larva migrans in Sudan: A case series calls for urgent actions |
| title_fullStr | Sudden emergence and spread of cutaneous larva migrans in Sudan: A case series calls for urgent actions |
| title_full_unstemmed | Sudden emergence and spread of cutaneous larva migrans in Sudan: A case series calls for urgent actions |
| title_short | Sudden emergence and spread of cutaneous larva migrans in Sudan: A case series calls for urgent actions |
| title_sort | sudden emergence and spread of cutaneous larva migrans in sudan a case series calls for urgent actions |
| topic | Cutaneous larva migrans Skin diseases Zoonoses Integrated surveillance and Response system One Health Sudan |
| url | http://www.sciencedirect.com/science/article/pii/S2214250923001130 |
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