A longitudinal study on cutaneous larva migrans in an impoverished Brazilian township.

Abstract:

BACKGROUND:The objective of this study was to describe the clinical pathology and seasonal variation of cutaneous larva migrans (CLM) in an impoverished community. METHOD:A representative sample of the population of a poor urban neighbourhood in Fortaleza, northeast Brazil, was examined for CLM four times during a period of eleven months. RESULTS:In total, 4107 individuals were examined. Sixty-three individuals were diagnosed to have CLM with a total of 132 larval tracks. The prevalence varied from 3.1% (95% CI: 2.2-4.3) in the middle of the rainy season to 0.2% (95% CI: 0.0-0.9) in the peak of the dry season. This corresponds to an incidence of 1841 cases of CLM per 10,000 inhabitants per year. The male sex was significantly more often affected (P<0.01). Eighty-three percent of the lesions were located at the trunk, legs or feet. Moderate or severe itching was present in all patients; 31.2% complained of insomnia due to itching, and 21% of the lesions were superinfected. CONCLUSIONS:CLM is a common parasitic skin disease in this deprived community, it is associated with significant morbidity, and its occurrence varies according to the rainfall.

journal_name

Travel Med Infect Dis

authors

Heukelbach J,Wilcke T,Meier A,Sabóia Moura RC,Feldmeier H

doi

10.1016/j.tmaid.2003.10.003

subject

Has Abstract

pub_date

2003-11-01 00:00:00

pages

213-8

issue

4

eissn

1477-8939

issn

1873-0442

pii

S1477-8939(03)00096-6

journal_volume

1

pub_type

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