Cutaneous Migrant Larvae, Worm Infection Crawling Under the Skin

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Cutaneous Migrant Larvae, Worm Infection Crawling Under the Skin
Cutaneous Migrant Larvae, Worm Infection Crawling Under the Skin

Cutaneus larva migrans is an infection caused by hookworm larvae entering the skin. You can recognize this condition from the appearance of red bumps on the skin that look like snakes and are accompanied by a very annoying itching feeling

Cutaneus larval migration usually occurs when the skin comes into direct contact with soil or sand contaminated with hookworm larvae from animal feces, such as dogs and cats.

After getting into the skin, the larvae can slowly creep up and dig just under the skin to form a tunnel. This is what causes this infection to be called creeping eruption.

Cutaneous Migrant Larvae, Worm Infection that Crawls Under the Skin - Alodokter

Recognizing the Signs and Symptoms of Cutaneous Migrant Larva

Hookworm larvae can infect the skin anywhere on the body. However, the most common locations are on the legs, thighs, and buttocks. When the worm larvae enter, the skin will usually feel tingly and like a small prick. Usually, this symptom is not noticed by the sufferer.

Once inside, the larvae may stay still for months or they may move straight through the skin. Larvae walking under the skin and their feces can trigger an allergic reaction.

This allergic reaction causes intense itching and usually gets worse at night. In addition, the skin through which these larvae pass will appear prominent, reddish in color, and form a 2–3 mm wide path that snakes irregularly like a snake.This pathway can continue to grow as long as the larvae are still living under the skin.

Children are more at risk of cutaneous larva migrans than adults. This is related to the habit of playing outside the house without using footwear. This habit allows direct contact with soil or sand that has been contaminated with animal waste containing hookworms.

How to Overcome Cutaneus Migrant Larva

Actually, migratory larva cutaneous can heal on its own within 2–8 weeks. However, the itching is so severe that this infection needs to be treated immediately.

First of all, the doctor will usually spray a solution of ethyl chloride on the patient's skin to reduce itching due to cutaneous larva migrans. If the itching persists, the doctor will also prescribe antihistamines. In addition, the doctor will prescribe medicine to kill the worms.

The following types of drugs may be given by the doctor:


Ivermectin is the main choice in the treatment of cutaneous larva migrans. However, this drug is not recommended for children. Ivermectin is enough to be taken once during the treatment period.


Albendazole can also kill worms and can be consumed by adults and children. This drug is taken 1 time a day for 5 consecutive days. Although rare, albendazole can cause side effects such as stomach upset.


Tiabendazole can be an alternative if other options are not available. This drug is taken 2 times a day for 2 consecutive days. Compared to albendazole, this drug has more side effects, such as nausea, stomach pain, and vomiting.

Cutaneus larvae migratory including worm disease that is easy to treat. However, the itching that occurs in this condition can be very annoying, and can even lead to complications.If the itchy part is scratched too hard to hurt, a bacterial infection can occur in the wound, especially if the patient does not maintain cleanliness.

In addition, hookworms can also enter the bloodstream and infect other organs of the body. Therefore, avoid infection with this worm by always wearing footwear when going outside and avoiding direct contact with soil or sand that may have been exposed to animal waste.

Besides, keep yourself clean by bathing regularly. If you experience cutaneous larva migrans symptoms, immediately consult a doctor for treatment.

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