What is creeping eruption?
Creeping eruption is a skin
infection caused by hookworms. It is also called sandworm disease.
Creeping eruption causes severe
itching, blisters, and a red growing, winding rash. The rash can grow about 1/2 to 3/4
inches per day. The infection often appears on parts of the body that have been exposed
to the contaminated ground. These include the feet, legs, buttocks, or back.
What causes creeping eruption?
Creeping eruption is caused by
hookworms. Hookworm eggs are found in the infected stool (feces) of dogs and cats. After
the eggs hatch, they mature into worms. The infection can be spread to people from skin
contact with the worms in the stool. Hookworms may be found in moist, sandy areas.
Walking barefoot on contaminated grounds in warm climates is how most people get this
What are the symptoms of creeping eruption?
The rash often shows up 1 to 5 days
after you have been exposed to the hookworms. But sometimes it can take more than a
month to show up. Each person may have slightly different symptoms. Symptoms may
The symptoms of creeping eruption may look like other skin conditions. Always see your healthcare provider for a diagnosis.
How is creeping eruption diagnosed?
Your healthcare provider will often
make the diagnosis based on your health history and a physical exam.
How is creeping eruption treated?
Creeping eruption may be treated
with antiparasitic medicines (such as albendazole, ivermectin, and thiabendazole). They
may be taken by mouth (orally). Or they may be a topical cream used directly on the
rash. This condition goes away on its own. It will disappear in a few weeks or months
even if not treated.
Can creeping eruption be prevented?
People are rarely exposed to
hookworms in the U.S. This is because most cats and dogs are treated for worms. Public
areas are also kept clean. Infection is more likely in tropical and semitropical
countries. Most cases are reported in people who have traveled to the Caribbean, Africa,
Asia, and South America. Since the hookworm larvae often enter the body through bare
feet, wearing shoes will help stop infection.
Key points about creeping eruption
Creeping eruption is a skin infection caused by hookworms.
Hookworms are found in dogs and cats.
It can be caused by exposure to moist
sand that has been contaminated by infected dog or cat stool.
It appears as a winding, snake-like
rash with blisters and itching.
It may be treated with antiparasitic
It is not common in the U.S. It
affects travelers to the Caribbean, Africa, Asia, and South America.
Tips to help you get the most from a visit to your healthcare provider:
Know the reason for your visit and what you want to happen.
Before your visit, write down questions you want answered.
Bring someone with you to help you ask questions and remember what your provider tells you.
At the visit, write down the name of a new diagnosis, and any new medicines, treatments, or tests. Also write down any new instructions your provider gives you.
Know why a new medicine or treatment is prescribed, and how it will help you. Also know what the side effects are.
Ask if your condition can be treated in other ways.
Know why a test or procedure is recommended and what the results could mean.
Know what to expect if you do not take the medicine or have the test or procedure.
If you have a follow-up appointment, write down the date, time, and purpose for that visit.
Know how you can contact your provider if you have questions.