Concerns About Infection and Parasites from Snail Contact

Infection and parasitic issues?

Hello, Doctor.

1.
If I accidentally kicked a snail while wearing flip-flops (and I'm not sure if my foot made direct contact with the snail), and afterwards I wiped my foot with a wet wipe, is there a concern about parasitic infection?
2.
I have a condition known as "dishydrotic eczema" on my hands, which has caused cracked wounds.
Recently, these wounds have become itchy, painful, and swollen.
Would reducing hand hygiene help improve this condition? Thank you, Doctor.

Kk, 20~29 year old female. Ask Date: 2023/07/19

Dr. Lin Wufu reply Internal Medicine

1.
As long as there are no obvious wounds on the foot, it will not occur.

2.
Yes, it can occur.
Dupuytren's contracture is caused by repetitive irritation leading to chronic inflammation.
Reducing the irritation is an important part of treatment, and you can consult a dermatologist for further management.

Reply Date: 2023/07/19

More Info

When it comes to concerns about infection from contact with snails, it's important to understand the nature of the parasites that may be associated with them, particularly in the context of your specific situation.
1. Contact with Snails: If you accidentally kicked a snail while wearing flip-flops, the risk of infection from parasites is generally low, especially if you did not have direct skin contact with the snail. Snails can carry parasites such as *Angiostrongylus cantonensis*, which is known to cause eosinophilic meningitis in humans, but transmission typically occurs through ingestion of contaminated food or water, rather than through skin contact. The fact that you wiped your foot with a wet wipe afterward further reduces any potential risk. It's always a good practice to wash your hands and feet after coming into contact with outdoor elements, especially if you are concerned about cleanliness or potential exposure to parasites.

2. Wound Care and Hygiene: Regarding your concern about a cracked wound on your hand, it's crucial to maintain proper hygiene, especially if the wound is itchy, painful, and swollen. Reducing hand cleanliness is not advisable, as this could lead to an increased risk of infection. Instead, you should focus on keeping the wound clean and covered to prevent any potential pathogens from entering. If the wound is showing signs of infection (such as increased redness, swelling, warmth, or pus), it is essential to seek medical attention. A healthcare provider can assess the wound and may prescribe topical or systemic antibiotics if necessary.

In summary, while the risk of infection from a snail contact incident is minimal, maintaining good hygiene practices is vital, especially when dealing with open wounds. If you have any ongoing concerns about your health or specific symptoms, consulting a healthcare professional is always the best course of action. They can provide personalized advice and treatment options based on your individual circumstances.

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