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Patient presented with a 2-week history of localized painful swelling in the scalp. Eleven days earlier, the patient had traveled to Puerto Maldonado, a city located in the heart of the Peruvian jungle. The physical examination revealed a painful 2-cm × 1-cm erythematous edematous plaque over the vertex of the scalp and tender occipital and left retroauricular lymphadenopathy. The scalp over the lesion was shaved and a dermatoscopic examination was performed, revealing a small follicular opening
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