Dracunculiasis: Difference between revisions

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Revision as of 00:58, 19 September 2014

Background

  • Also known as Guinea Worm disease
  • Dracunculus medinensis

Clinical Features

  • Adult worm migrates through subcutaneous tissues of the leg and erodes through skin
  • Rash, intense pruritus, nausea, vomiting, dyspnea, and diarrhea prior to eruption

Differential Diagnosis

Workup

Management

  • Metronidazole 750 mg TID x 5-10 days OR thiabendazole 50-75 mg/day divided BID x 3 days
  • Must also extract adult worm from skin
  • Patients with active skin lesions should stay out of potable water

Disposition

See Also

External Links

Sources