Clinical Presentation & Protocol
Patient Usually Complains Of
Patient presents with complaints of abdominal discomfort, nausea, and intermittent passage of motile, worm-like organisms in the stool. History of ingestion of contaminated water or unwashed produce. No history of recent travel to endemic areas, but reports poor sanitation conditions. Denies fever, hematochezia, or systemic toxicity.
Clinical Examination Findings
Abdominal examination reveals mild, generalized tenderness without guarding or rebound. Bowel sounds are normoactive. Stool analysis confirms the presence of Eristalis tenax larvae (rat-tailed maggots). Perianal examination is unremarkable. No signs of intestinal obstruction or acute abdomen.
Treatment Protocol
Treatment plan: Supportive care and observation. In most cases, the condition is self-limiting. Advise on strict hygiene practices, boiling of drinking water, and thorough washing of raw produce. Pharmacological intervention (e.g., anthelmintics) is generally not required unless secondary infection or persistent symptoms occur. Follow-up stool microscopy in 1 week.