Rare Diseases Symptoms Automatic Extraction
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Misidentification of Onchocerca volvulus as guinea worm.
[dracunculiasis]
Over
the
past
10
years
,
the
status
of
human
infection
with
guinea
worm
(
Dracunculus
medinensis
)
in
the
Central
African
Republic
(
CAR
)
has
been
difficult
to
ascertain
.
It
is
unclear
if
indigenous
cases
are
occurring
and
whether
cases
are
migrating
into
the
CAR
from
surrounding
countries
.
A
team
of
investigators
visited
the
CAR
in
July
-
August
2000
,
to
attempt
to
ascertain
the
presence
of
indigenous
transmission
.
No
cases
of
true
guinea
-worm
infection
(
i
.
e
.
dracunculiasis
)
were
detected
,
but
three
cases
of
human
infection
with
Onchocerca
volvulus
,
each
of
which
had
been
misidentified
as
dracunculiasis
,
were
detected
.
The
unusual
presentation
of
skin
blisters
and
extraction
of
an
intact
female
O
.
volvulus
are
described
.
As
a
result
of
this
investigation
,
and
the
confusion
of
onchocerciasis
being
misidentified
as
dracunculiasis
,
the
presence
of
endemic
transmission
of
guinea
worm
in
the
CAR
remains
in
question
.
