This patient presents with an intensely pruritis rash. KOH examination is negative. She denies any recent travel, however does take her 2 year old to the local playground where there is a sandbox. Which of the following is most appropriate?

A. This is likely a dermatophyte despite a negative KOH. Treat with topical antifungals

B. Inform the patient she is contagious and should isolate herself from her children

C. Slowly extract the organism

D. Treat with clobetasol ointment

E. Treat with oral ivermectin

To find out the correct answer and read the explanation, click here. 

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