A Case Report of Cutaneous Larvae Migrans with Associated Fungal Superinfection in Uyo, Nigeria

Abstract

Aims: To describe a case of Cutaneous Larvae Migrans (CLM) with associated fungal and bacterial superinfection seen in the Tuberculosis and Infectious Disease Unit of University of Uyo Teaching Hospital. Presentation of Case: A 31-year old male reported to the Tuberculosis and Infectious Disease Unit with a history of creeping eruptions, itching and right foot swelling following gardening. Investigations revealed associated bacterial and fungal super infection. Symptoms resolved after treatment with Albendazole, antibiotics and antifungals. Discussion: Although CLM is self-limiting, non- recognition and home treatment using local herbal remedies may lead to associated superinfection, mask the presentation and lead to delayed diagnosis. Conclusion: CLM is not frequently reported in the tropics and primary health care workers are likely unfamiliar with its presentation, which could delay the treatment. Associated use of local herbal remedies lead to superinfection as seen in the index case may lead to missed and delayed diagnosis. This calls for increased awareness of the condition and its treatment for primary care workers.