GUINEA WORM DISEASE

Guinea worm disease is caused by a parasite name Dracunculus medinensis. It is by far the most significant parasite to infect humans and affects the tissues. Female worms can store within them approximately several million eggs and can range in size from 600 to 600nm long and 1cm in width. The male worms, on the other hand, are much smaller and can only grow in length likened to the size of a pasta noodle. 

The worm lodges into the muscle layers and results in excruciating pain, especially felt in the joints. It then finds its exit route several meters away from the entry point. There is also a note of swelling, pain, and fluid accumulation in the area where the worm lodges. Most often, the infestation is accompanied by non-specific signs and symptoms such as headache, gastric upset, and vomiting.

Guinea worm disease is caused by the ingestion of water or utilization of water for cooking and other household chores infested by the larva of Dracunculus medinensis. It was first reported among children and adults alike in the third world countries who suffer drought and famine in that they are forced to eat dirt cakes (referring to a delicacy also known as Galette in Haiti), where the mud is combined with water, margarine, salt and is dried under the heat of the sun.

SYMPTOMS

Guinea worm disease usually is asymptomatic in its early stages and only produces symptoms when the adult worm has already infested the subcutaneous muscles. The disease presents with either of the following:

  1. Pain on the area where the adult worm has lodged
  2. Feeling of warmth or heat on the area that has been traversed by the adult worm
  3. Gastrointestinal symptoms such as nausea, vomiting, epigastric tenderness, loose bowel movement
  4. Low to moderate fever
  5. The appearance of fluid containing indurations on the skin
  6. Rashes
  7. In some severe cases, when the adult worm dies, it causes pain and tenderness on the common area and can sometimes reach the spinal cord.

DIAGNOSIS

Diagnostic procedures for hyperbilirubinemia include:

  • Direct and indirect bilirubin levels: blood will be tested to determine the bilirubin level present in the liver or is in the bloodstream.
  • Red blood cell count: will determine if the baby has too much RBC which can cause hemolysis
  • Reticulocyte count:  determines the level of newly-produced RBS; an indication of RBC production
  • Blood type and testing for ABO/Rh incompatibility

TREATMENT

The condition typically resolves after one or two weeks when the child’s liver becomes more efficient and consumes healthy amounts of milk. While in rare cases, the state may last for more than six weeks, even when there is proper treatment. However, this could be an indication of a more serious underlying medical condition that requires more aggressive treatment.

Breastfeeding shall be continuous unless the doctor tells you to stop. Breast milk is required to keep the baby healthy as it supplies all necessary nutrients that will support the baby’s ability to fight off diseases and infections. It is recommended by the American Academy of Pediatrics to breastfeed infants during their first six months, 8 to 12 times per day.

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