An 8-year-old boy from Agatti Island in Lakshadweep, India presented with history of intensely pruritic skin lesions on the posterior aspect of the leg for last 2 days. There were no systemic symptoms. Clinical examination revealed an erythematous, serpentine lesion at the posterior aspect of leg with vesicles at the edge of the lesion (Fig. 1a). The boy used to play football on the beach barefoot everyday. He had similar lesions on the same leg a few months earlier, which were treated with topical antifungal cream. A diagnosis of cutaneous larva migrans was made and he was started on oral albendazole at 400 mg once daily for 5 days. Lesions healed rapidly leaving patchy excoriation of the skin secondary to scratching (Fig. 1b).

Fig. 1 (a) Raised and serpentine lesions of cutaneous larva migrans, (b) Post-treatment picture showing healing and excoriations secondary to scratching.