[A parasitic infection as an unwanted souvenir]

A 27-year-old patient came to the dermatology outpatient clinic of the Erasmus MC because of progressive swelling, pain, itching and skin lesions of the left foot for two days. The symptoms initially started with erythematous urticarial papules and vesicles. After a day severe swelling of the forefoot, bullae around the toes and several slowly progressive serpiginous plaques developed without systemic complaints. A week before the onset of the symptoms, he had returned from a trip to Colombia. Under the working diagnosis of cutaneous larva migrans, ivermectin 0.2 mg/kg for two consecutive days, clobetasol, cetirizine and local compression therapy were started. Two weeks after the start of the treatment, the patient was symptom-free. The disease is self-limiting. In case of multiple lesions or severe reaction, treatment may be considered.