Cutaneous larva migrans is due to –
## **Core Concept**
Cutaneous larva migrans (CLM) is a skin condition caused by the migration of larvae of certain nematodes, particularly hookworms, through the skin. This condition is characterized by an itchy, serpiginous, or linear skin lesion. The most common causative agents are *Ancylostoma braziliense* and *Ancylostoma caninum*.
## **Why the Correct Answer is Right**
The correct answer, *Ancylostoma caninum*, is a species of hookworm that commonly infects dogs. When the larvae of this parasite penetrate the skin, usually through a contaminated area, they cause CLM. The larvae attempt to migrate through the skin but get trapped, leading to the characteristic skin lesions. This condition is often seen in individuals who walk barefoot on contaminated soil.
## **Why Each Wrong Option is Incorrect**
- **Option A:** *Ascaris lumbricoides* is a large roundworm that primarily causes intestinal infections in humans. It does not cause cutaneous larva migrans.
- **Option B:** *Wuchereria bancrofti* is a filarial parasite responsible for lymphatic filariasis, not CLM.
- **Option C:** While *Ancylostoma braziliense* is indeed a cause of CLM, the correct answer provided is *Ancylostoma caninum*, making this option incorrect based on the specifics of the question.
## **Clinical Pearl / High-Yield Fact**
A key point to remember is that CLM is often treated with topical or oral ivermectin or albendazole. Prevention involves wearing shoes in areas where the infection is common and avoiding skin contact with contaminated soil.
## **Correct Answer:** D. *Ancylostoma caninum*.