Prepared by John L. Johnson, MD, Professor of Medicine, Division of Infectious Diseases, Department of Medicine, Case Western Reserve University, University Hospitals of Cleveland, Cleveland, Ohio

A healthy 24-year-old male physician had worked in a local clinic in Senegal and Cote d’Ivoire for 2 weeks. During his stay, he visited a beach, where he went swimming and played volleyball. Six days later he noticed several raised, red, extremely pruritic lesions on his right foot (Figure).

What’s the Diagnosis?

Scabies

Cutaneous leishmaniasis

Cutaneous larva migrans

Bacterial cellulitis