Clinical Presentation & Protocol
Patient Usually Complains Of
Patient presents with a history of recent travel to an endemic region. Reports the development of a painful, pruritic papule on the [Location], which progressed to a blister and subsequent ulceration. Patient notes the visualization of a white, thread-like structure protruding from the lesion. Denies systemic symptoms such as fever or secondary cellulitis.
Clinical Examination Findings
Physical examination reveals a localized erythematous, indurated ulceration on the [Location]. A visible, thin, white, filariform worm is observed emerging from the ulcer base. Surrounding skin shows signs of localized inflammation. No evidence of systemic lymphadenopathy or secondary bacterial infection. Vital signs are stable.
Treatment Protocol
Mechanical extraction of the worm via slow, daily winding around a sterile gauze or matchstick. Local wound care with daily cleaning and sterile dressing to prevent secondary bacterial infection. Analgesics administered for pain management. Antibiotic prophylaxis or treatment initiated if secondary infection is present.