RT Book, Section A1 Keehbauch, Jennifer Tickal A2 Usatine, Richard P. A2 Smith, Mindy A. A2 Mayeaux, Jr., E.J. A2 Chumley, Heidi S. SR Print(0) ID 1164359906 T1 Cutaneous Larva Migrans T2 The Color Atlas and Synopsis of Family Medicine, 3e YR 2019 FD 2019 PB McGraw-Hill Education PP New York, NY SN 9781259862045 LK accessmedicine.mhmedical.com/content.aspx?aid=1164359906 RD 2024/03/28 AB A mother brought her 18-month-old son to the physician's office for an itchy rash on his feet and buttocks (Figures 150-1 and 150-2).1 The first physician examined the child and made the incorrect diagnosis of tinea corporis. The topical clotrimazole cream failed. The child was unable to sleep because of the intense itching and was losing weight secondary to his poor appetite. He was taken to an urgent care clinic, where the physician learned that the family had returned from a trip to the Caribbean prior to the visit to the first physician. The child had played on beaches that were frequented by local dogs. The physician recognized the serpiginous pattern of cutaneous larva migrans (CLM) and successfully treated the child with oral ivermectin. The child was 15 kg, so the dose was 3 mg (0.2 mg/kg), and the tablet was ground up and placed in applesauce.