Case history
Case history
A 32-year-old man presents to his primary care physician with intensely pruritic lesions on his right foot. He was recently in Jamaica on vacation where he stayed at an all-inclusive resort and spent most of his time on the beach, rarely wearing sandals or shoes. He mentions seeing many stray cats around the beach and hotel. His symptoms began 7 days after his return home. He reports no previous medical problems and takes no medications. Exam reveals multiple erythematous, raised serpiginous tracks on the plantar and dorsal surface of the right foot. A few blisters measuring about 5 mm in diameter are present along the tracks. Systemic exam is otherwise unremarkable. [Figure caption and citation for the preceding image starts]: Typical appearance of cutaneous larva migransFrom the collection of Dr Gregory L. Zalar; used with permission [Citation ends].
Other presentations
Patients may present with vesiculobullous or papular lesions along the larval tracks in up to 40% of cases; bullae may be several centimeters in diameter.[3][4] Rarely, a returning traveler may present with folliculitis due to creeping larvae becoming trapped in the sebaceous follicular canal. In such cases, pruritic papules and pustules are found in association with relatively short tracks, often on the buttocks.[5]
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