Clinical Presentation & Protocol
Patient Usually Complains Of
Patient presents with a palpable, slowly enlarging subcutaneous nodule. Reports intermittent pruritus, localized erythema, and occasional sensation of subcutaneous migration or "crawling" movement. History of travel to endemic regions (Mediterranean/Eastern Europe) and exposure to mosquito vectors. No systemic symptoms, fever, or lymphadenopathy noted.
Clinical Examination Findings
Physical examination reveals a firm, non-tender or mildly tender subcutaneous nodule, measuring [X] cm, located in the [Anatomical site]. Skin overlying the lesion shows no signs of ulceration. No evidence of systemic parasitic involvement. Migration of the nodule may be observed upon serial examinations.
Treatment Protocol
Definitive treatment is surgical excision of the nodule under local anesthesia. Complete removal of the parasite is required to prevent recurrence. Post-operative wound care advised. No specific systemic anthelmintic therapy is routinely required unless microfilaremia is detected. Monitor for secondary bacterial infection.