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Stufano A, Foti C, Lovreglio P, Romita P, De Marco A, Lia RP, Otranto D, Iatta R. Occupational risk of cutaneous larva migrans: A case report and a systematic literature review. PLoS Negl Trop Dis 2022; 16:e0010330. [PMID: 35551315 PMCID: PMC9098051 DOI: 10.1371/journal.pntd.0010330] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/19/2023] Open
Abstract
Cutaneous larva migrans (CLM) is a parasitic zoonosis of warm tropical and subtropical areas, although autochthonous cases have been increasingly reported in Western European countries. Data on the prevalence of CLM as an occupational disease in workers exposed to potentially contaminated soil or in close contact with dogs and cats are scant. Herein, we report an autochthonous case of CLM in a dog breeder from southern Italy (Apulia region), along with a systematic literature review describing the risk of CLM infection, mainly according to job categories. The patient was referred to the dermatology unit presenting a serpiginous lesion on his hand, raising the suspected CLM diagnosis. In non-endemic areas, CLM might represent a challenge for physicians in terms of diagnosis, treatment, and prevention, particularly in workplaces. The multidisciplinary approach in the diagnosis of CLM with the involvement of different scientific competences (i.e., dermatologists, veterinarians, and occupational physicians) may contribute to further assess the distribution of human CLM and associated risk factors, toward reducing the risk for the infection.
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Affiliation(s)
- Angela Stufano
- Interdisciplinary Department of Medicine, University of Bari, Bari, Italy
| | - Caterina Foti
- Department of Biomedical Science and Human Oncology, Dermatological Clinic, University of Bari, Bari, Italy
| | - Piero Lovreglio
- Interdisciplinary Department of Medicine, University of Bari, Bari, Italy
- * E-mail:
| | - Paolo Romita
- Department of Biomedical Science and Human Oncology, Dermatological Clinic, University of Bari, Bari, Italy
| | - Aurora De Marco
- Department of Biomedical Science and Human Oncology, Dermatological Clinic, University of Bari, Bari, Italy
| | | | - Domenico Otranto
- Department of Veterinary Medicine, University of Bari, Bari, Italy
- Faculty of Veterinary Sciences, Bu-Ali Sina University, Hamedan, Iran
| | - Roberta Iatta
- Interdisciplinary Department of Medicine, University of Bari, Bari, Italy
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