Handling Of Worms In The Skin And Feels Itchy Rather Hot?

Illustration of Handling Of Worms In The Skin And Feels Itchy Rather Hot?
Illustration: Handling Of Worms In The Skin And Feels Itchy Rather Hot? dermatologyadvisor.com

Hello, I want to ask my husband on his back at first like a worm in the skin and itching rather hot, then to the doctor and given a 2.5% hydrocortisone acetate ointment then after a few days the skin has become blackened and deflated, I think it’s healed but it turns out beside it grows things similar, I rubbed back but remained like that. I am confused what else should be done so that it does not re-grow. Can the doctor suggest what medicine does not grow back? What kind of illness really is? Is it a parasite? And what is the cause? Please help

1 Answer:

Hello Ny.aliciacia_ Thank you for consulting us on HealthReplies.com. From the statement you made, there are several possibilities that happened to your husband, including:

Cutaneus Larva Migrans contact dermatitis fungal infections (dermatophytosis) Lyme scabies disease Cutaneus Larva Migrans is an infection caused by parasites ie worms that live under human skin. This type of worm is hookworm that is usually found in animals such as cats, dogs, sheep, horses and others, and can infect humans who usually do not use footwear when walking and are exposed to / contaminated in animal feces containing worm eggs such as when in park or on the beach. Symptoms that appear generally are sensations of itching, tingling or like being pricked within the first 30 minutes after being contaminated. The surface of the skin will turn red or change color and bumps will appear on the skin until the skin surface becomes rough like snake skin after a few hours, and then it will widen from 2mm to 2cm per day depending on the type of parasite that attacks.

If not treated immediately it is feared if the larvae of the worm spread to the human lungs through blood vessels and move to the mouth until swallowed into the small intestine, which can then occur anemia, coughing, pneumonia and other symptoms of the disease. Of course it is difficult to establish a diagnosis without conducting a direct examination of your husband, for that we recommend that you re-consult with other doctors or dermatologists so that your husband is re-examined more thoroughly, it is likely that the doctor will do additional tests like OCT (Optical Coherence Tomography) used to scan which serves to identify the type of parasite on the surface of the skin. It also can do a skin biopsy to monitor the position of parasites and the potential for inflammation that occurs in the skin layer.

If later the cause is worm / CLM, then the treatment is parasitic treatment using anticacing drugs such as albendazole or ivermectin which will be prescribed by a doctor, and will likely be able to recover 4-8 weeks. However, it still can not rule out medical conditions that occur not because of parasitic worms / CLM, but skin diseases like we mentioned earlier such as contact dermatitis, ringworm, etc. Therefore, we strongly recommend that you immediately consult another doctor who can be used as a second opinion. So that the treatment can be done properly and as early as possible. Thus we can convey to you, hopefully our information can be useful for you. thanks.

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