1/5. Case studies in international travelers.family physicians should be alert for unusual diseases in patients who are returning from foreign travel. malaria is a potentially fatal disease that can be acquired by travelers to certain areas of the world, primarily developing nations. Transmitted through the bite of the anopheles mosquito, malaria usually presents with fever and a vague systemic illness. The disease is diagnosed by demonstration of plasmodium organisms on a specially prepared blood film. Travelers can also acquire amebic infections, which may cause dysentery or, in some instances, liver abscess. amebiasis is diagnosed by finding entamoeba histolytica cysts or trophozoites in the stool. Invasive amebic infections are generally treated with metronidazole followed by iodoquinol or paromomycin. Cutaneous larva migrans is acquired by skin contact with hookworm larvae in the soil. The infection is characterized by the development of itchy papules followed by serpiginous or linear streaks. Cutaneous larva migrans is treated with invermectin or albendazole. Case studies are presented.- - - - - - - - - - ranking = 1keywords = physician (Clic here for more details about this article) |
2/5. Cutaneous larva migrans: case report with current recommendations for treatment.Cutaneous larva migrans is a common skin pathology that occurs in people who have recently visited tropical or subtropical climates. Given the ubiquity of this condition, the podiatric physician may encounter cutaneous larva migrans during clinical practice and should be cognizant of the presenting signs and typical patient history given in these cases. We describe the case of a 62-year-old man who presented with a pruritic, erythematous, serpiginous lesion on the dorsum of his left foot after having vacationed in florida for several weeks. The patient was treated successfully with oral thiabendazole, 500 mg after meals 4 times daily for 5 days.- - - - - - - - - - ranking = 1keywords = physician (Clic here for more details about this article) |
3/5. Management of complex pedal cutaneous larva migrans.Although cutaneous larva migrans is more commonly seen in the southeastern US and tropical regions of the world, patients with such parasitic involvement may present in other non-endemic areas for various reasons, particularly travelers returning from tropical vacations. awareness of the clinical presentation and symptomatology of cutaneous larva migrans is important for all physicians, including those practicing in northern climates, for prompt recognition and effective treatment of the disease. Furthermore, cutaneous larva migrans should be of particular interest to podiatrists, because the infestation commonly involves the feet, and a patient may initially present for treatment of secondary manifestations, ie, dermatitis, pruritus, or infection, as in this case report.- - - - - - - - - - ranking = 1keywords = physician (Clic here for more details about this article) |
4/5. Outbreak of cutaneous larva migrans in a family household.An outbreak of cutaneous larva migrans in a household is described. The attention of practising physicians, health authorities and the populace is directed at the increasing prevalence of this otherwise rare disease, as well as the need for a comprehensive programme to rid the community of unwanted domesticated animals.- - - - - - - - - - ranking = 1keywords = physician (Clic here for more details about this article) |
5/5. gnathostomiasis, or larva migrans profundus.gnathostomiasis, or larva migrans profundus, is a significant cause of morbidity in many parts of the world, especially the far east. Over forty cases have recently been reported from south america, and some of those patients are seeking diagnostic evaluation and treatment in the united states. A clinical course of painless migratory recurrent urticarial skin lesions in a patient who has eaten raw or poorly cooked freshwater fish should alert a physician to the diagnosis of gnathostomiasis.- - - - - - - - - - ranking = 1keywords = physician (Clic here for more details about this article) |