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Dermatology · Infections: cercarial dermatitis
Sample itemAfter wading in a freshwater pond, a boy develops intensely itchy red papules on the exposed legs within hours, resolving in a week. Which organism causes this?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
B. Avian schistosome cercariae
Cercarial dermatitis, or swimmer's itch, is a hypersensitivity reaction to penetration by avian or animal schistosome cercariae that cannot mature in humans. It is self-limiting and treated with antihistamines and topical steroids. Creeping eruption has a serpiginous track instead.
Option by option
A. Pediculus humanus
Lice cause itching of the scalp or body folds, not exposure-linked papules.
B. Avian schistosome cercariae (correct)
Correct. Avian schistosome cercariae cause swimmer's itch.
C. Sarcoptes scabiei
Scabies produces burrows and persists untreated.
D. Ancylostoma braziliense larvae
Hookworm larvae cause a migrating serpiginous track.
Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.
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