A 28-year-old man arrives at the clinic with a rash on his lower extremities. Just before returning from a south Florida beach two days earlier, the patient observed a pruritic papule on the dorsum of his right foot. He strolled on the beach barefoot but has no recollection of any trauma. The redness and itching have gotten worse since he returned home. The patient has no additional medical issues and is not on any drugs. The results of the physical examination are displayed below. Which of the following is the most likely cause of this patient's current condition?

Question

A 28-year-old man arrives at the clinic with a rash on his lower extremities. Just before returning from a south Florida beach two days earlier, the patient observed a pruritic papule on the dorsum of his right foot. He strolled on the beach barefoot but has no recollection of any trauma. The redness and itching have gotten worse since he returned home. The patient has no additional medical issues and is not on any drugs. The results of the physical examination are displayed below.  Which of the following is the most likely cause of this patient's current condition?

Quizplus · Accepted Answer

Eductional Objective: Hookworm infections are spread by direct skin contact with infected soil/sand (eg, walking barefoot). Dermal penetration is frequently characterized by an acutely pruritic papule that may develop serpiginous trails as a result of hookworm larvae subcutaneous migration.

A 28-Year-Old Man Arrives at the Clinic with a Rash