Office-made 4% Albendazole Cream is an Effective Alternative Therapy for Cutaneous Larva Migrans: A Report of Three Cases

Introduction. Cutaneous larva migrans (CLM), commonly called creeping eruption, is a parasitic skin disorder caused by the invasion of larva to the skin. This disease classically presents as serpiginous lesions. Larva frequently originates from fecal material of cats and dogs. The pruritus is usually intense and if not treated might disrupt activity, lead to secondary infection, and extend to other regions. Oral and topical antihelminthic agents are the first-line treatment with excellent clinical response. However, they are not always readily available, as is it the case in our region. We attempt to tackle this limitation by formulating an office-made albendazole cream. This report shows the clinical efficacy of our regimen in three cases of CLM.

Case Report. We report three cases of CLM diagnosed through history taking and clinical presentation. All cases were treated with topical office-made albendazole as requested by the patients and due to resource limitation. The topical preparation was made by dissolving 400 mg albendazole tablet into sterile water and mixing it with Vaseline to form 4% cream. Three times daily application for seven days led to excellent clinical response.

Conclusion. Our 4% office-made albendazole cream was shown to be effective in treating CLM. Thus, this simple and practical preparation may serve as an alternative treatment for CLM.

Dogs from public city parks as a potential source of pollution of the environment and risk factor for human health

A study was undertaken to determine the prevalence of zoonotic parasites in faeces of dogs who were visiting the public parks and to evaluate the risk they represented for the people and children visiting the same places. Parasitological analysis was performed on 300 samples of faeces, collected from public parks of the city of Niš (Tvrd– dava Park, C´ air Park, Sveti Sava Park); from autumn 2018 and spring 2019. Using standard qualitative and quantitative methods of coprological diagnostics, the presence of protozoa (Cystoisospora spp.), nematodes (Toxocara canis, Toxascaris leonina, Ancylostoma caninum / Uncinaria stenocephala, Trichuris vulpis and Capillaria aerophila), cestodes (Dipyllidium caninum, Taenia spp.) and trematode Alaria alata was determined. The prevalence of endoparasitoses were 58–70%, and the most prevalent were those of medium intensity. Depending on the research period, the four most frequent endoparasites were T. canis (36.66–38%), ancylostomatidae (24.66–32%), T. vulpis (20–28%) and A. alata (28%).

Soil and Sand Contamination with Canine Intestinal Parasite Eggs as a Risk Factor for Human Health in Public Parks in Niš (Serbia)

Regarding geographical distribution and clinical relevance, the most common canine geohelminths are Toxocara canis, ancylostomatids, and Trichuris vulpis. Canine intestinal parasites from the soil and sand present an important potential serious human health hazard, especially for the children preschool and school - age. This paper aimed to establish the degree of contamination of soil and sand with zoonotic parasites from the canine feces and the degree of risk they could pose for human health in public places and playgrounds in the city of Niš. Our parasitological study involved 200 soil samples and 50 sand samples from the public parks in the city of Niš in southeastern Serbia (43°19'15″N, 21°53'45″ E). From several locations, about 100 g of soil and sand was collected based on the bioclimatic indices. Parasitological diagnosis was performed using conventional qualitative and quantitative coprological methods, abiding by the recommendations about the diagnosis of parasitic diseases. In 38 - 46 % of soil samples and 40 % of sand samples seven species of endoparasites were diagnosed. In the samples of soil, a medium and high degree of contamination with the ascarid T. canis (14 - 22 %) was detected, as well as a low and medium degree of contamination with ancylostomatids (4 - 12 %), and in the samples of sand, a variable degree of contamination with the helminths T. canis (26 %) and A. alata (16 %) was found. A statistically significant difference was found in the contamination with A. alata eggs between the samples of sand and samples of soil. The studied public surfaces represent the reservoir of zoonotic parasites, which is a public health problem requiring a synergistic action of several factors to be successfully resolved, i.e. the implementation of prevention, surveillance, and control measures.