Infectious Disease Compendium

Dracunculus medinesis


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


Skin ulcer.


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.


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