Creeping eruption due to Spirurina type X larva

Abstract

Blood tests showed eosinophilia (22·7%; normal 0·2-8·9%), white blood cells (10·7 x 109/L; 4·3-9·4 x 109/L), and raised serum IgE (1·98 mg/L; <0·41 mg/L). Because we suspected a creeping eruption caused by parasitic larvae such as gnathostomiasis, sparganosis mansoni, or larval spiruriniasis, we excised the lesion completely. Clinically, the patient first notices abdominal pain several days after eating raw squid or fish, which can sometimes progress to acute ileus,4 caused by enteritis or mesenteritis due to invasion of the type X larva into the intestinal wall or abdominal cavity.