A 10-year-old girl develops itchy, painful papules with black dots on her feet after a trip to rural Brazil. Explore this case of a parasitic skin infestation.
An otherwise healthy 10-year-old girl presented to the primary care clinic with a 10-day history of multiple itchy papules on the soles of her feet and on her toes. The lesions had black dots in the center and were painful. Two weeks earlier, the family had traveled to rural Brazil. During that time, the patient had played in a pigsty without wearing shoes. Sand fleas were removed from multiple lesions. What is the most likely diagnosis?
What is the most likely diagnosis?
Dermatology, Parasitic Infestation, Travel Medicine, Tungiasis, Zoonosis
