PMC4735466_01
Lamington National Park, Queensland, Australia
gr1.jpg
PMC4735466_01_gr1.jpg
fig0005
A 32-year-old woman was hiking with her 31-year-old husband in Lamington National Park, Queensland, Australia (Fig. 1).
Engorged leeches
gr2.jpg
PMC4735466_01_gr2.jpg
fig0010
Some leeches had penetrated the man's socks and were engorged with blood over the bilateral malleoli of both ankles (Fig. 2).
Palpable purpura
gr3.jpg
PMC4735466_01_gr3.jpg
fig0015
The affected areas on the woman's legs later became raised 2-6 mm non-blanching violaceous purpuric papules (Fig. 3).