Zoonotic hookworms are hookworms that live in animals but can be transmitted to humans. Dogs and cats can become infected with several hookworm species, including Ancylostoma brazilense, A. caninum, A. ceylanicum, and Uncinaria stenocephala. The eggs of these parasites are shed in the feces of infected animals and can end up in the environment, contaminating the ground where the animal defecated. People become infected when the zoonotic hookworm larvae penetrate unprotected skin, especially when walking barefoot or sitting on contaminated soil or sand. This can result in a disease called cutaneous larva migrans (CLM), when the larvae migrate through the skin and cause inflammation. Intestinal blood loss secondary is the major clinical manifestation of hookworm infection. In fact, hookworm disease historically refers to the childhood syndrome of iron deficiency anemia, protein malnutrition, growth and mental retardation with lethargy resulting from chronic intestinal blood loss secondary to hookworm infection in the face of an iron deficient diet.