Ground itch

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Ground itch
Synonyms Cutaneous larva migrans, creeping eruption
Pronounce N/A
Specialty N/A
Symptoms Itchy, red, raised rash on the skin
Complications Secondary bacterial infection
Onset 1-5 days after exposure
Duration 1-2 weeks
Types N/A
Causes Hookworm larvae, primarily Ancylostoma braziliense and Ancylostoma caninum
Risks Walking barefoot on contaminated soil
Diagnosis Clinical evaluation, history of exposure
Differential diagnosis Tinea corporis, Scabies, Contact dermatitis
Prevention Wearing shoes, avoiding contaminated soil
Treatment Anthelmintics such as albendazole or ivermectin
Medication N/A
Prognosis N/A
Frequency Common in tropical and subtropical regions
Deaths N/A


Ground itch is a condition that is caused by the parasitic hookworm. It is also known as Necator americanus or Ancylostoma duodenale. The condition is characterized by an itchy rash that occurs when the larvae of the hookworm penetrate the skin. This is often the first sign of a hookworm infection.

Causes[edit | edit source]

Ground itch is caused by the larvae of the hookworm. These parasites live in the soil and can penetrate the skin of humans who come into contact with contaminated soil. The larvae then travel through the bloodstream to the lungs, where they are coughed up and swallowed. This allows them to reach the intestines, where they mature into adult worms.

Symptoms[edit | edit source]

The primary symptom of ground itch is an itchy rash. This rash typically appears on the feet or hands, as these are the areas that are most likely to come into contact with contaminated soil. Other symptoms of a hookworm infection can include abdominal pain, diarrhea, loss of appetite, weight loss, and anemia.

Treatment[edit | edit source]

Treatment for ground itch involves medications that kill the hookworms. These medications, known as anthelmintics, include mebendazole and albendazole. In severe cases, iron supplements may also be needed to treat anemia.

Prevention[edit | edit source]

Prevention of ground itch involves avoiding contact with contaminated soil. This can be achieved by wearing shoes when walking in areas where hookworm is common, and by not defecating in the soil.

See also[edit | edit source]

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Contributors: Prab R. Tumpati, MD