GuidelinesPrimary Care STG
Sandworm
Parasitic Infestations of the Skin
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ICD 10 code: B76.0
DESCRIPTION
- Creeping eruption (cutaneous larva migrans) caused by Ancylostoma braziliense, a hookworm of dog or cat.
- Larvae of ova in soil penetrate skin commonly through the feet, legs, buttocks or back and cause a winding thread-like trail of inflammation with itching, scratching dermatitis and bacterial infection.
MEDICINE TREATMENT
- Albendazole, oral
- Children < 2 years of age: 200 mg daily for 3 days
- Children ≥ 2 years of age and adults: 400 mg daily for 3 days
AND
Children
- Chlorphenamine, oral, 0.1 mg/kg/dose 6–8 hourly. See: dosing table
LoE:IVb19
Adults
- Chlorphenamine, oral, 4 mg, 6–8 hourly
Note:
Chlorphenamine is sedating and may only be required in the evening for mild cases.
Standard Treatment Guidelines and Essential Medicines List for South Africa, Primary Healthcare, 2020-2024_Version 1.0_07 November 2024
Chapter 5: Skin Conditions_5.7.3 Scabies