Case 195. Dracunculosis (26 y-o M)
         
    Painful ulcerating skin lesion of the leg with a slowly appearing long nematode, seen in a Nigerian adult    
         
   
Key words : Dracunculus medinensis, Guinea worm, Asclepius
   
     
 
     
Dracunculus medinensis (Guinea worm) is transmitted by drinking water containing infected Cyclops. One year later, a mature female worm, up to 1 m in size, gradually appear out of the ulcerated leg skin at a speed of 2-3 cm/day to cause severe pain.   Reference case 195A
Dracunculosis in Niger. Gross findings of a coiled subcutaneous worm in the leg of a 18 y-o female. Severe pain restricts the labor and results in a big ecomonic damage to the society. Patients enter the water to relieve the pain, when the Guinea worm releases microfilariae into the water.
     
 
     
Filtration mesh and straw distributed by the Cater Center
The Cater Center held by Jimmy Cater, the previous president of the USA, struggles with eradication of this preventable disorder in west Africa. The Cater Center's activities include the education, well-boring and distribution of the filtration mesh and straw for the people.
  Filtration straw distributed by the Cater Center
The WHO regards dracunculosis as the second target of infectious disease eradication. Mesh and straw filtrate 1 mm-sized Cyclops off, to simply prevent transmission mechanically.
     
   
     
WHO's logo mark with Asclepius, a god of medicine, and snake around the stick
Dracunculosis was endemic along the Red Sea in the era of the Old Testament. Guinea worm was called "fiery snake". Actually, the snake around the Asclepius' stick is the Guinea worm! It can be supposed that in the Greek era, Mr. Asclepius was especially good at removing the fiery snake by using a stick.