Clinical Presentation & Protocol
Patient Usually Complains Of
Patient presents with symptoms of nasopharyngeal discomfort, including paroxysmal sneezing, throat irritation, and sensation of a foreign body in the nasopharynx. History of potential exposure to raw or undercooked viscera of intermediate hosts (sheep, goats, or cattle). Symptoms include intermittent rhinorrhea, cough, and occasional dyspnea.
Clinical Examination Findings
Oropharyngeal and nasopharyngeal examination reveals localized mucosal inflammation, edema, and hyperemic tissues. Visualization via nasopharyngoscopy may identify the presence of the nymphal stage of Linguatula serrata (tongue worm) attached to the pharyngeal wall. No systemic lymphadenopathy noted. Respiratory auscultation clear.
Treatment Protocol
Mechanical removal of the parasite via endoscopic forceps is the primary treatment. Post-extraction, local antiseptic irrigation is recommended. Consider short-term topical corticosteroids to reduce mucosal inflammation. Monitor for secondary bacterial infection and prescribe prophylactic antibiotics if indicated.