Best management of cutaneous larva migrans.



Drugs for CLM are ivermectin , albendazole and thiabendazole. There are several recommended dosing and duration. It is best to check with your local public health guidelines. Some suggest single dose while some suggest 3-5 days of treatment course. Single dose might failed to eradicate the larvae. Examples : Ivermectin 12mg daily for 5 days OR Albendazole 400mg- 800mg daily for 5 days ( Thiabendazole is poorly effective with only 68-84% cure rate) There could be complication along with CLM eg impetigo , local skin reactions that could cause intense pruritus. Those symptoms can be treated symptomatically.

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Cutaneous larva migrans is a parasitic skin infection caused by hookworm larvae that usually infest cats, dogs and other animals. Humans can be infected with the larvae by walking barefoot on sandy beaches or contacting moist soft soil that has been contaminated with animal faeces. Ivermectin 6 mg + Albendazole 400 mg .. 1 tab daily for FOUR consecutive days

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