TY - JOUR T1 - Atypical gnathostomiasis-confirmed cutaneous larva migrans, Vietnam JF - BMJ Case Reports JO - BMJ Case Reports DO - 10.1136/bcr-2021-243276 VL - 14 IS - 7 SP - e243276 AU - Cuong Minh Duong AU - Phuc Vinh Dinh Le AU - Oanh Kieu Nguyet Pham AU - Hong Quang Huynh Y1 - 2021/07/01 UR - http://casereports.bmj.com/content/14/7/e243276.abstract N2 - We reported a case of gnathostomiasis in a 42-year-old woman with an unclear history of eating high-risk foods and had a non-migratory skin lesion, negative serological testing and normal blood eosinophil counts. A diagnosis of gnathostomiasis was based on a live, third-stage Gnathostoma spinigerum larva that was randomly taken from the patient’s skin lesion by herself. The presenting case report demonstrates challenges in correctly diagnose cutaneous gnathostomiasis even in endemic countries due to atypical skin lesions, negative serology testing and the absence of eosinophilia and thus, the widely used classic triad of suggestive evidence of gnathostomiasis is not fulfilled. ER -