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Pruritic lesions around left (a) and right (b) ankle seen on day 1.
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After his first night's stay, he noticed a pruritic red bump on the lateral aspect of the right ankle (Fig. 1).
Additional pruritic nonlinear lesions on the leg seen on day 2.
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The second morning, he noticed a few more pruritic nonlinear lesions on his legs (Fig. 2).
An adult (left) and various nymphal stages of Amblyomma. (Photography by Norm Cyr.)
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Microscopic examination of the "bugs" identified one adult and various nymphal stages of Amblyomma hard tick (Fig. 3).