This little piggy went to rural Brazil; this little piggy should have stayed home; this little piggy played in a pigsty; this little piggy had no shoes on; and this little piggy went, “wee, wee, wee”, all the way to the primary care clinic — which, granted, doesn’t have quite the same ring to it.

A 10-year-old girl developed these itchy, painful papules on the soles of her feet and toes a few days after taking a trip to the country with her family, two weeks earlier.