File:Dracunculiasis02.jpeg

This image depicts the subcutaneous emergence of a female Guinea worm, Dracunculus medinensis, from the dorsum of a sufferer’s left foot at the proximal surface of the second toe. The white, spaghetti-like worm is slowly being pulled from the wound. Before the worm emerges, a blister develops on the skin. This blister causes a very painful burning sensation and eventually (within 24 - 72 hours) ruptures. Once the worm emerges from the wound, it can only be pulled out a few centimeters each day, and wrapped around a small stick or piece of gauze. Sometimes a worm can be pulled out completely within a few days, but this process often takes weeks.