This report describes an unusual case of echinostomiasis in a retropositive patient with swelling, pain, and purulent discharge over back and right scapular region for 10 days. Stool examination revealed the presence of eggs of hookworm and echinostome. Diagnosis is challenging due to few characteristic features of eggs of echinostomes. They usually infect birds and mammals, and only limited species are implicated in the causation of human disease. Mild infections are of little significance, but heavy fluke burden may lead to significant abdominal symptoms. Incidence of echinostomiasis is higher in Southeast Asian countries, and this report is an unusual case in India. We discuss general desirability of awareness of this kind of infection and training for better detection.