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Outbreak of cutaneous larva migrans in a group of travellers

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introduction  We describe an outbreak of cutaneous larva migrans (CLM) in a group of 140 holidaymakers to a resort in Barbados and the index case.

methods  A two-page questionnaire was mailed to holidaymakers and 90% responded.

results  25.4% of respondents developed a rash consistent with CLM. Risk factors for developing the illness were younger age and less frequent use of protective footwear while walking to the beach. Patients had difficulty in obtaining a correct diagnosis during their initial medical consultation and in obtaining medication from pharmacies. Efficacious treatments were oral and topical thiabendazole.

conclusions  CLM can occur in a large proportion of people exposed to contaminated soil or sand. Protective footwear is effective in reducing infection. Thiabendazole is an efficacious treatment.
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Keywords: Ancylostoma; Barbados; beach; cat; cutaneous larva migrans; travel

Document Type: Research Article

Affiliations: 1: McGill Center for Tropical Diseases, Montreal General Hospital, Montreal, Canada 2: Division of Clinical Epidemiology, Montreal General Hospital, Montreal, Canada 3: Regional Parasitology Laboratory, St. Joseph's Hospital, McMaster University, Hamilton, Canada

Publication date: 2000-05-01

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