Very High‐ and High‐Frequency Ultrasound Features of Cutaneous Larva Migrans

Autor: Sergio Álvarez-Véliz, Isabel Ogueta, Cristián Vera-Kellet, Ximena Wortsman, Marcela Concha-Rogazy, Lucas Navajas-Galimany, Sergio González-Bombardiere
Rok vydání: 2019
Předmět:
Zdroj: Journal of Ultrasound in Medicine. 38:3349-3358
ISSN: 1550-9613
0278-4297
Popis: Cutaneous larva migrans is a common infestation among travelers. Although the diagnosis may be suspected clinically, cases can show atypical presentations. We present the ultrasound features of 4 cases at 18 and 70 MHz. Small linear hyperechoic and hyper-refringent subepidermal and intrafollicular structures suggestive of fragments of larvae, hypoechoic dermal and hypodermal tunnels that match with dilatation of lymphatic ducts, and inflammatory dermal and hypodermal ultrasound signs can support the diagnosis. This work suggests that larvae can penetrate the cutaneous basement membrane through the ostia of the hair follicles and potentially disseminate through the dermal and hypodermal lymphatic network.
Databáze: OpenAIRE