File:Dracunculiasis03.jpeg

This image depicts the subcutaneous emergence of two female Guinea worms, Dracunculus medinensis, from the popliteal region of both of a sufferer’s legs, i.e., behind both knees. The white, spaghetti-like worms are being pulled from the leg wounds by a health worker. 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.