Cutaneous Larva Migrans

Cutaneous Larva Migrans is a topic covered in the Select 5-Minute Pediatrics Topics.

To view the entire topic, please or purchase a subscription.

Medicine Central™ is a quick-consult mobile and web resource that includes diagnosis, treatment, medications, and follow-up information on over 700 diseases and disorders, providing fast answers—anytime, anywhere. Explore these free sample topics:

Medicine Central

-- The first section of this topic is shown below --



Infestation of the epidermis by the infectious larvae of certain nematodes, classically manifesting with an intensely pruritic, serpiginous skin lesion


Worldwide distribution, but most frequent in warmer climates, including the Caribbean, Africa, South America, Southeast Asia, and southeastern United States

Risk Factors

  • Contracted from soil contaminated with dog and cat feces
  • Occupational exposures occur from crawling under buildings, such as among plumbers and pipefitters.


  • Route of spread
    • Primary host (dog or cat) passes eggs to ground through feces.
    • Warm, sandy soil acts as an incubator.
    • Eggs mature into rhabditiform larvae (noninfectious), which molt in 5 days to filariform larvae (infectious).
  • Humans are accidental hosts.
  • Filariform larvae penetrate the epidermis either through hair follicles or fissures or through intact skin with the use of proteases.
  • Larvae are unable to penetrate the basement membrane of the dermis; therefore, the infection remains limited to the epidermis.
  • Larvae cannot complete their life cycle in the human host and die within weeks to months.
  • Symptoms are due to hypersensitivity to the organism or its excreta.


  • Most common organism is the dog or cat hookworm, Ancylostoma braziliense.
  • Other species include Ancylostoma caninum, Uncinaria stenocephala, and Bunostomum phlebotomum.

-- To view the remaining sections of this topic, please or purchase a subscription --