Surprise from skin nodules after travel to South America

The cheating vesicles

“…Differential diagnosis of papular/vesicular lesions includes a wide spectrum of diseases [1][2][3][4][5] . Due to the well-defi ned margin and the worsening after corticosteroid therapy, we suspected fungal pathology and performed a mycological examination of a swab from the patient's hand.…”

Crusted Nodules on the Lower Left Arm in a Traveller Returning from South America: A Quiz

“…This causative botfly is frequently seen in Central and South America, where it is indigenous (1,2). In Europe and the USA, however, only imported cases among travellers have been described (3,4).…”

“…It is typically diagnosed after careful history-taking and a characteristic clinical presentation: a crusted nodule with a central pore that intermittently exudes a serosanguinous discharge (1)(2)(3)(4)(5). The furuncle may be accompanied by nocturnal pain (1)(2)(3)(4)(5). A method to diagnose the infestation is to submerge the lesion in water to evaluate whether air bubbles appear (6).…”