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</a><h1 class="with-also" itemprop="name">Creeping eruption</h1>
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</noscript></div><div class="main"><div id="ency_summary"><p>Creeping eruption is a human infection with dog or cat <a test="test" href="./000629.htm">hookworm</a> larvae (immature worms).</p></div><section><div class="section"><div class="section-header"><div class="section-title"><h2>Causes</h2></div><div class="section-button"><button type="submit" aria-controls="section-1" role="button" title="Expand/Collapse section"><span class="icon icon-section-action">
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</div></div><div class="section-body" id="section-1"><p>Hookworm eggs are found in the stool of infected dogs and cats. When the eggs hatch, the larvae can infest soil and vegetation.</p><p>When you come into contact with this infested soil, the larvae can burrow into your skin. They cause an intense <a test="test" href="./000821.htm">inflammatory response</a> that leads to a <a test="test" href="./003220.htm">rash</a> and severe itching.</p><p>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.</p></div></div></section><section><div class="section"><div class="section-header"><div class="section-title"><h2>Symptoms</h2></div><div class="section-button"><button type="submit" aria-controls="section-2" role="button" title="Expand/Collapse section"><span class="icon icon-section-action">
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</div></div><div class="section-body" id="section-2"><p>Symptoms of creeping eruption include:</p><ul><li><a test="test" href="./003939.htm">Blisters</a></li><li>Itching, may be more severe at night</li><li>Raised, snakelike tracks in the skin that may spread over time, usually about 1 cm (less than one half inch) per day, usually on the feet and legs (severe infections may cause several tracks)</li></ul></div></div></section><section><div class="section"><div class="section-header"><div class="section-title"><h2>Exams and Tests</h2></div><div class="section-button"><button type="submit" aria-controls="section-3" role="button" title="Expand/Collapse section"><span class="icon icon-section-action">
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</div></div><div class="section-body" id="section-3"><p>Your health care provider can often diagnose this condition by looking at your skin. In rare cases, a <a test="test" href="./003840.htm">skin biopsy</a> is done to rule out other conditions. In very rare cases, a blood test is done to see if you have increased <a test="test" href="./003649.htm">eosinophils</a> (a type of white blood cell).</p></div></div></section><section><div class="section"><div class="section-header"><div class="section-title"><h2>Treatment</h2></div><div class="section-button"><button type="submit" aria-controls="section-4" role="button" title="Expand/Collapse section"><span class="icon icon-section-action">
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</div></div><div class="section-body" id="section-4"><p>Anti-parasitic medicines may be used to treat the infection. </p></div></div></section><section><div class="section"><div class="section-header"><div class="section-title"><h2>Outlook (Prognosis)</h2></div><div class="section-button"><button type="submit" aria-controls="section-5" role="button" title="Expand/Collapse section"><span class="icon icon-section-action">
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</div></div><div class="section-body" id="section-5"><p>Creeping eruption often goes away by itself over weeks to months. Treatment with anti-parasitic medicines helps the infection go away more quickly.</p></div></div></section><section><div class="section"><div class="section-header"><div class="section-title"><h2>Possible Complications</h2></div><div class="section-button"><button type="submit" aria-controls="section-6" role="button" title="Expand/Collapse section"><span class="icon icon-section-action">
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</div></div><div class="section-body" id="section-6"><p>Creeping eruption may lead to these complications:</p><ul><li>Bacterial skin infections caused by scratching</li><li>Spread of the infection through the bloodstream to the lungs or small intestine (rare) </li></ul></div></div></section><section><div class="section"><div class="section-header"><div class="section-title"><h2>When to Contact a Medical Professional</h2></div><div class="section-button"><button type="submit" aria-controls="section-7" role="button" title="Expand/Collapse section"><span class="icon icon-section-action">
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</div></div><div class="section-body" id="section-7"><p>Make an appointment with your provider if you or your child have skin sores that are: </p><ul><li>Snake-like</li><li>Itchy</li><li>Moving from one area to another</li></ul></div></div></section><section><div class="section"><div class="section-header"><div class="section-title"><h2>Prevention</h2></div><div class="section-button"><button type="submit" aria-controls="section-8" role="button" title="Expand/Collapse section"><span class="icon icon-section-action">
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</div></div><div class="section-body" id="section-8"><p>Public sanitation and deworming of dogs and cats have decreased hookworm infestation in the United States.</p><p>Hookworm larvae often enter the body through bare feet, so wearing shoes in areas where hookworm infestations are known to occur helps prevent infection.</p></div></div></section><section><div class="section"><div class="section-header"><div class="section-title"><h2>Alternative Names</h2></div><div class="section-button"><button type="submit" aria-controls="section-Alt" role="button" title="Expand/Collapse section"><span class="icon icon-section-action">
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</div></div><div class="section-body" id="section-Alt"><p>Parasite infection - hookworm; Cutaneous larvae migrans; Zoonotic hookworm; Ancylostoma caninum; Ancylostoma braziliensis; Bunostomum phlebotomum; Uncinaria stenocephala
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</p></div></div></section><section><div class="section sec-mb"><div class="section-header"><div class="section-title"><h2>Images</h2></div><div class="section-button"><button type="submit" aria-controls="section-tnails" role="button" title="Expand/Collapse section"><span class="icon icon-section-action">
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<li><img src="//medlineplus.gov/ency/images/ency/tnails/1001t.jpg" alt="Hookworm - mouth of the organism" title="Hookworm - mouth of the organism" class="side-img"/><a href="../imagepages/1001.htm">Hookworm - mouth of the organism</a></li>
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<li><img src="//medlineplus.gov/ency/images/ency/tnails/1002t.jpg" alt="Hookworm - close-up of the organism" title="Hookworm - close-up of the organism" class="side-img"/><a href="../imagepages/1002.htm">Hookworm - close-up of the organism</a></li>
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<li><img src="//medlineplus.gov/ency/images/ency/tnails/1003t.jpg" alt="Hookworm - Ancylostoma caninum" title="Hookworm - Ancylostoma caninum" class="side-img"/><a href="../imagepages/1003.htm">Hookworm - Ancylostoma caninum</a></li>
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<li><img src="//medlineplus.gov/ency/images/ency/tnails/2049t.jpg" alt="Cutaneous larva migrans" title="Cutaneous larva migrans" class="side-img"/><a href="../imagepages/2049.htm">Cutaneous larva migrans</a></li>
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</ul></div></div></section><section><div class="section"><div class="section-header"><div class="section-title"><h2>References</h2></div><div class="section-button"><button type="submit" aria-controls="section-Ref" role="button" title="Expand/Collapse section"><span class="icon icon-section-action">
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</div></div><div class="section-body" id="section-Ref"><p>Dinulos JGH. Infestations and bites. In: Dinulos JGH, ed. <em>Habif's Clinical Dermatology</em>. 7th ed. Philadelphia, PA: Elsevier; 2021:chap 15.</p><p>Nash TE. Visceral larva migrans and other uncommon helminth infections. In: Bennett JE, Dolin R, Blaser MJ, eds. <em>Mandell, Douglas, and Bennett's Principles and Practice of Infectious Diseases</em>. 9th ed. Philadelphia, PA: Elsevier; 2020:chap 290.</p></div></div></section>
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<section><div class="section"><div class="section-header"><div class="section-title"><h2>Review Date 12/4/2022</h2></div><div class="section-button"><button type="submit" aria-controls="section-version" role="button" title="Expand/Collapse section"><span class="icon icon-section-action">
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