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Question

A 40-year-old male, upon returning from a beach holiday, noticed a serpiginous, intensely pruritic linear lesion over the dorsum of foot which moved slowly across the skin to reach up to his toes in 5-6 days. The most likely clinical diagnosis is:

This question was previously asked in
UPSC CMS 2026 Surgery, Gynaecology & Obstetrics, and PSM Question Paper (02-Aug-2026)
The correct answer is

Cutaneous larva migrans

Cutaneous larva migrans, caused by animal hookworm larvae (e.g., Ancylostoma braziliense) penetrating skin exposed to contaminated sand (typical of beach exposure), produces a slowly migrating serpiginous, intensely pruritic linear track, classically over the feet.

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Important Questions from Metazoan Infections

  1. Which among the following is the first intermediate host for the parasitic fluke Clonorchis sinensis?
  2. Which among the following are hepatobiliary flukes (trematodes)? 

    1. Clonorchis sinensis 

    2. Mansonella perstans 

    3. Fasciola hepatica 

    4. Opisthorchis felineus 

    Select the correct answer using the code given below:

  3. Which among the following parasitic helminths is a nematode and has zoonotic transmission?
  4. Which of the following statements are correct in respect of scabies? 

    1. Male mite Sarcoptes scabiei are commonly transferred from an infected person to a non-infected person. 

    2. Norwegian scabies occur in immunodeficient patients. 

    3. Permethrin cream (5%) is used for treatment. 

    4. Pruritus intensifies at night and after hot shower. 

    Select the answer using the code given below :

  5. Consider the following statements with regard to cysticercosis : 

    1. It may present as personality change. 

    2. Subcutaneous nodule may excised for histology. 

    3. Cerebral signs commonly do not occur until the larvae die, 5-20 years later. 

    4. Praziquantel can be given for 10 days. 

    Which of the statements given above are correct?

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