Cases reported "Skin Diseases, Parasitic"

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1/11. Human infestation by Ophionyssus natricis snake mite.

    A family presented with a papular vesiculo-bullous eruption of the skin, found to be caused by the snake mite, Ophionyssus natricis (Cervais, 1844). A pet python was the primary host. Treatment of the animal and its environment led to clearance of the human skin lesions.
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2/11. Cutaneous strongyloides stercoralis infection: an unusual presentation.

    strongyloides stercoralis is a widespread, soil-transmitted, intestinal nematode common in tropical and subtropical countries. The parasite is unique in its capability to carry out its entire life cycle inside the human body. Human beings contract strongyloidiasis by penetration of filariform larvae into the skin or mucous membrane after contact with contaminated soil. The larvae travel by the venous systems to the lungs, then ascend the bronchi to the trachea, where the larvae are coughed up by the human host, subsequently swallowed, and attain their habitat in the small intestine. Chronic strongyloidiasis acquired in endemic areas may last decades and gives rise to various dermatologic lesions, the most characteristic of which is larva currens, a serpiginous, creeping urticarial eruption. In disseminated strongyloidiasis, the characteristic skin lesions are widespread petechiae and purpura. We present a case of disseminated strongyloidiasis with an unusual manifestation mimicking a drug rash and review the dermatologic manifestations of strongyloidiasis infestation.
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3/11. strongyloidiasis histologically mimicking eosinophilic folliculitis.

    The authors report an unusual case of strongyloidiasis in an Italian patient, who has always lived in sicily. The patient presented with marked blood eosinophilia and an itching maculo-papular eruption, histologically simulating eosinophilic folliculitis. The clinical resolution was achieved after albendazol therapy.
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4/11. Pelodera strongyloides infestation presenting as pruritic dermatitis.

    Pelodera strongyloides is a free-living soil nematode of the order rhabditida. We report an 18-year-old man with P strongyloides skin infestation. In this case, pruritic follicular papulopustules developed on the buttocks, then the right flank. skin scrapings revealed many live rhabditiform larvae that were cultured adult worms and hatched ova, identified as P strongyloides . The eruption was treated effectively with topical 1% gamma-hexachlorocyclohexane ointment.
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5/11. Cutaneous onchocerciasis in an American traveler.

    A case report of cutaneous onchocercias acquired during travels to Africa is presented. The salient epidemiologic, clinical, diagnostic, and therapeutic aspects are reviewed. Clinical and laboratory differences between onchocerciasis patients who are inhabitants of endemic areas and those who are occasional visitors to such areas are discussed. Parasitic infections, including onchocerciasis, should be considered in the differential diagnosis of pruritic eruptions in patients with a history of foreign travel to africa, central and south america.
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6/11. Cutaneous fascioliasis: a case report in vietnam.

    A 40 year-old woman living in Gialai, Kontum, vietnam, developed a red solid mass in the epigastric region. From ultrasound investigation, liver abscess and myositis of the intercostal muscle was diagnosed. Two weeks after treatment with antibiotics, the mass disappeared, but a migratory track developed in the right upper quadrant of the abdomen. An aspiration of the vesicular end of the serpiginous track showed a light brown, living worm that was later identified as an immature fasciola sp. This is the first case report of cutaneous fascioliasis in the form similar to creeping eruption.
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7/11. African trypanosomiasis in the united states.

    African trypanosomiasis of the Rhodesian variety occurred in an American who recently traveled to tanzania. skin findings included a fluctuant, indurated, tsetse-fly bite site (chancre) and a fleeting, erythematous, macular eruption. The diagnosis was confirmed by the presence of the organism in peripheral blood smears. The patient's condition responded to intravenous suramin. African trypanosomiasis should be included in the differential diagnosis of patients who have visited areas where this disease is endemic, and in whom the appropriate skin findings are present.
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8/11. Cutaneous toxoplasmosis.

    Nine patients with cutaneous toxoplasmosis had slowly regressing erythema-multiforme-like eruptions or lichenoid, papulonodular and purpurictelangiectatic disorders. The most common histologic finding was subacute histiolymphocytic perivasculitis with frequent demonstration of the parasite. Another group of patients showed similar clinical and histological findings, but the parasite was not evidenced in these.
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9/11. Disseminated strongyloidiasis with cutaneous manifestations in an immunocompromised host.

    Recognition of the characteristic cutaneous eruption of disseminated strongyloidiasis can be crucial for early diagnosis and treatment of this potentially fatal infestation. We describe a corticosteroid-dependent elderly man who had a purpuric eruption. Filariform larvae of strongyloides stercoralis were found in dermal granulomas and also in the sputum.
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10/11. Current status of gnathostomiasis dorolesi in Miyazaki Prefecture, japan.

    gnathostomiasis is an important food-borne parasitic zoonosis caused mainly by ingesting uncooked or undercooked flesh of freshwater fishes. Although four distinct species of the genus gnathostoma were identified as the causative agents for human gnathostomiasis, human infections with G. doloresi have been found only in japan, concentrated in Miyazaki Prefecture. So far we have found 25 cases in Miyazaki Prefecture. Although most of these patients were of cutaneous gnathostomiasis, two patients presented to the hospital with unusual clinical manifestations; one case was a pulmonary gnathostomiasis diagnosed by immunoserological methods, and the other was an ileus caused by migration of the late 3rd stage larva in the colonic tissue, which was found by post-operative histopathological examination. Although cutaneous lesions such as creeping eruption or mobile erythema are the common clinical features of gnathostomiasis, caution should be paid to the presence of such unusual cases.
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