Creeping Eruption Overview
Learn About Creeping Eruption
Creeping eruption is a human infection with dog or cat hookworm larvae (immature worms).
Parasite infection - hookworm; Cutaneous larvae migrans; Zoonotic hookworm; Ancylostoma caninum; Ancylostoma braziliensis; Bunostomum phlebotomum; Uncinaria stenocephala
Hookworm eggs are found in the stool of infected dogs and cats. When the eggs hatch, the larvae can infest soil and vegetation.
When you come into contact with this infested soil, the larvae can burrow into your skin. They cause an intense inflammatory response that leads to a rash and severe itching.
Creeping eruption is more common in countries with warm climates. In the United States, the Southeast has the highest rates of infection. The main risk factor for this disease is contact with damp, sandy soil that has been contaminated with infected cat or dog stool. More children than adults become infected.
Symptoms of creeping eruption include:
- Blisters
- Itching, may be more severe at night
- Raised, snakelike tracks in the skin that may spread over time, usually about 1 centimeter (cm) or less than one-half inch (in) per day, usually on the feet and legs (severe infections may cause several tracks)
Anti-parasitic medicines may be used to treat the infection.
Hermann Feldmeier practices in Berlin, Germany. Feldmeier is rated as an Elite expert by MediFind in the treatment of Creeping Eruption. Their top areas of expertise are Tungiasis, Creeping Eruption, Head Lice, and Scabies.
Ralf Ignatius practices in Berlin, Germany. Mr. Ignatius is rated as an Elite expert by MediFind in the treatment of Creeping Eruption. His top areas of expertise are Creeping Eruption, Pinworms, Giardia Infection, and Helminthiasis.
Stefano Veraldi practices in Milan, Italy. Mr. Veraldi is rated as an Elite expert by MediFind in the treatment of Creeping Eruption. His top areas of expertise are Creeping Eruption, Pubic Lice, Scabies, and Folliculitis.
Creeping eruption often goes away by itself over weeks to months. Treatment with anti-parasitic medicines helps the infection go away more quickly.
Creeping eruption may lead to these complications:
- Bacterial skin infections caused by scratching
- Spread of the infection through the bloodstream to the lungs or small intestine (rare)
Contact your provider if you or your child have skin sores that are:
- Snake-like
- Itchy
- Moving from one area to another
Public sanitation and deworming of dogs and cats have decreased hookworm infestation in the United States.
Hookworm larvae often enter the body through bare feet, so wearing shoes in areas where hookworm infestations are known to occur helps prevent infection.
Published Date: November 10, 2024
Published By: Jatin M. Vyas, MD, PhD, Roy and Diana Vagelos Professor in Medicine, Columbia University Vagelos College of Physicians and Surgeons, Division of Infectious Diseases, Department of Medicine, New York, NY. Also reviewed by David C. Dugdale, MD, Medical Director, Brenda Conaway, Editorial Director, and the A.D.A.M. Editorial team.
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Nash TE. Visceral larva migrans and other uncommon helminth infections. In: Bennett JE, Dolin R, Blaser MJ, eds. Mandell, Douglas, and Bennett's Principles and Practice of Infectious Diseases. 9th ed. Philadelphia, PA: Elsevier; 2020:chap 290.