Case 195. Dracunculosis (26 y-o M)

       
  Painful ulcerating skin lesion on the leg with a slowly appearing long nematode, seen in a Nigerian adult  
       

 

  Dracunculus medinensis (Guinea worm) is transmitted by drinking water containing infected Cyclops. One year later, a mature female worm, up to 1 m in size, gradually appear out of the ulcerated leg skin at a speed of 2-3 cm/day to cause severe pain.