Larval tick infestation causing an eruption of pruritic papules and pustules.

Ticks are well-documented human parasites and vectors of infectious disease. The larval ("seed") stage is 1 of 3 motile life stages, and larval ticks have been known to attack in droves, causing diffuse pruritic erythematous papules and pustules. In the absence of close examination, larval tick infestation can easily be missed in the wide differential for this clinical presentation.