PMC3588403_01
Area larvae penetration. Hemorrhagic blisters in the area: the larvae penetrated the skin and the purpuric serpiginous lesions in the back of the left foot.
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fig1
A healthy 36-year-old white man from the city of Porto Alegre, RS, Brazil, was fishing barefoot near a pond and after a period of 24 hours developed some cutaneous hemorrhagic blisters on his left foot (Figure 1).
Larva migrans. Diffuse purpuric lesions showing the various routes the larvae took in the left thigh.
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fig2
In 3 days, such condition evolved into pruritic, linear to serpiginous, erythematous urticarial lesions in the left lower limb and reached his left thigh (Figures 2 and 3).
Biopsy site in the popliteal region.
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fig3
In 3 days, such condition evolved into pruritic, linear to serpiginous, erythematous urticarial lesions in the left lower limb and reached his left thigh (Figures 2 and 3).
Larva currens. Erythematous, edematous urticarial lesions in the back and the abdomen.
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fig4
Later, the pathology showed the larvae in the epidermis (Figures 4, 5, and 6).
Pathology. PAS 10x: presence of larva PAS positive in stratum corneum.
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fig5
Later, the pathology showed the larvae in the epidermis (Figures 4, 5, and 6).
Strongyloides stercoralis. Presence of larva in the corneal layer.
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fig6
Later, the pathology showed the larvae in the epidermis (Figures 4, 5, and 6).