Dracunculiasis
Background
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