Swelling of the right cheek in an Israeli traveler returning from Columbia: A diagnostic challenge

A healthy 28 year-old woman presented to our Clinic with swelling in her right cheek. Ten days previously, she had returned from a three-week trip to Colombia, during which she ingested ceviche and sushi. Upon her return from Colombia she noted swelling lateral to her right eye. The swelling migrated to the right cheek, and then the sub-mandibular region. Examination revealed subcutaneous edema of the right cheek and sub-mandibular area. Three serpiginous red, linear lesions on the right cheek and sub-mandibular area were suggestive of “creeping eruption” (Picture 1).
Source: Travel Medicine and Infectious Disease - Category: Infectious Diseases Authors: Source Type: research