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Man Returns from Japan with Fever, Nausea, Pruritic Lesion - Let's Diagnose

gnathostomiasissmall.jpgA 37-year-old man went to his primary care doctor complaining of fever, nausea, and abdominal pain. He had attributed these symptoms to his recent trip to Japan, where he ate lots of new foods along with old favorites like sushi. However, when a pruritic, serpiginous lesion appeared on his flank, he became concerned. 

Could it be cutaneous larva migrans? Gnathostomiasis? Loiasis? Strongyloidiasis?

Check out the differential we created in VisualDx.

The correct answer is...

About VisualDx

VisualDx is an award-winning diagnostic clinical decision support system that has become the standard electronic resource at more than half of U.S. medical schools and more than 1,500 hospitals and institutions nationwide.  VisualDx combines clinical search with the world's best medical image library, plus medical knowledge from experts to help with diagnosis, treatment, self-education, and patient communication. Expanding to provide diagnostic decision support across General Medicine, the new VisualDx brings increased speed and accuracy to the art of diagnosis. Learn more at