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A 36-year-old woman presented with erythema, swelling, and pain in both shins. The lesions had developed two weeks after she returned from Peru. Cellulitis was diagnosed, and cephalexin was prescribed. The cellulitis improved somewhat, but two weeks after the initial presentation new lesions developed. On examination, the patient had seven tender, erythematous, indurated subcutaneous lesions 2 to 3 cm in diameter, each with a central punctum. A course of dicloxacillin was started. The same night, the patient saw a larva crawl out
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