Infectious Disease Compendium

Dracunculus medinesis

Microbiology

A helminth.

Epidemiologic Risks

Drinking water in tropical Africa, the worm eventually migrates to the skin and forms an ulcer with the worm wiggling at the base. It is found in African frogs. If so, it will soon cease as a human pathogen as frogs go the way of the passenger pigeon

Syndromes

Skin ulcer.

Treatment

Thiabendazole 25 mg/kg bid x 2 days, or metronidazole 5 mg/kg bid for 1 week decreases inflammation to allow easy removal of the worm over a week or so by progressively rolling out the worm onto a stick. Then sold at the Minnesota State Fair.

Notes

Worm on a stick; isn't that at the food court?