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case_images: Continued.
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case_images: The most numerous changes occurred in the male (Figure 1). Three to seven days after the first symptoms, reddened bullous lumps followed by serpentine channels developed, accompanied by pruritus. The channels made by the larvae were filled with serum. The migration of the larvae caused intense itching and secondary bacterial infections due to intense scratching.
case_images: The photos show the development of cutaneous larva migrans (CLM) on the leg of a man after he returned from Thailand. Day 1 (A and B) - red spots indicated the places where the larvae entered ((B) - magnified section). Day 10 (C and D) - pruritic skin changes with erythema, serpiginous tracks begin to appear. Day 13 (E) - characteristic linear and urticarial changes increased; the rate of migration of larvae in the skin was about 1-3 cm per day. Day 14 (F and G) - very itchy red papules and serpiginous tracks on the leg. Day 15 (H) - reddened skin lesions where the larvae entered the scrotum and buttocks. Day 20 (I) - reddened skin lesions and serpiginous tracks on the lower leg. Day 26 (J) - one week after treatment with the first dose of albendazole, skin lesions begin to fade, but severe itching remains. Between Day 28 and Day 34 of invasion (K-M), the dormant larvae reactivated; characteristic elevated serpiginous tracks with bullous lesion appeared on the foot and thigh. Day 65 (N) - post-treatment.
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case_images: The skin lesions in the woman and child, however, were significantly more limited (Figures 2 and 3).   
case_images: Characteristic skin lesions at Day 11 (A) and Day 12 (B) in 14-month-old girl.
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case_images: The skin lesions in the woman and child, however, were significantly more limited (Figures 2 and 3).   
case_images: Typical serpiginous tracts with erythematous rash at Day 20 in a woman after a tourist trip to Thailand (A and B).
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case_images: A chronology of the disease progression in the man is presented in the timeline in Figure 4. 