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Cutaneous larva migrans in a young child following circumrotation as a cultural ritual
  1. Vijayakumary Thadchanamoorthy1 and
  2. Kavinda Dayasiri2
  1. 1Paediatrics, Eastern University Sri Lanka Faculty of Health-Care Sciences, Batticaloa, Eastern, Sri Lanka
  2. 2Paediatrics, Oxford University Hospitals NHS Foundation Trust, Oxford, Oxfordshire, UK
  1. Correspondence to Dr Kavinda Dayasiri; kavindadayasiri{at}


Cutaneous larva migrans is an acquired, self-limited infestation caused by cat hookworm, Ancylostoma braziliense, and dog hookworm, A. caninum. The disease is acquired by direct contact with contaminated soil. Circumrotation is a religious ritual practised by devotees of Hinduism as a fulfilment of vows taken at the shrine and involves rolling over with uncovered upper body on the sand over a distance of up to 600 m. It is a reported mode of acquisition of cutaneous larva migrans infestation. The authors report a 10-year-old boy who acquired cutaneous larva migrans on his right forearm after circumrotation. The forearm is an unusual site for this infestation, and most reported cases had lesions on the feet, thighs and buttocks following either sitting or playing on contaminated soil. The child made complete recovery following treatment with albendazole for 1 week.

  • dermatology
  • paediatrics (drugs and medicines)
  • skin
  • tropical medicine (infectious disease)

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  • Contributors VT led the clinical management of the patient and wrote the manuscript. KD participated in the clinical management of the patient, performed literature survey, and wrote and edited the manuscript.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Patient consent for publication Parental/guardian consent obtained.

  • Provenance and peer review Not commissioned; externally peer reviewed.