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Abstract

Background Cutaneous larva migrans is a serpiginous helminthic infection common among certain occupations dealing with contaminated soil especially in warm climate. Most common predilections include the feet, legs, and buttocks with only a fraction of cases found on the trunk and upper extremities.

Case Presentation A rare scapular cutaneous larva migrans manifestation on a thirty-six years old sand porter with high occupational exposure was described. Physical examination revealed progressive pruritic and warm rash in a serpiginous pattern on the left shoulder.

Results Diagnosis was established based on characteristic serpiginous rash physical findings supported by history of contact. This case needed occupational and medical treatment, such as a standard 7-days regiment of albendazole alongside temporary career switch recommendation. Satisfactory improvement was achieved within days of treatment with no sign of re-infection during follow-up.

Conclusion Aside from standard therapy, occupational preventive measures should always be enforced to minimize risk of cutaneous larva migrans infection among high-risk workers, which may occasionally occur in less common topography.

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