Aseptic knee effusion associated with calcified guinea worms.
Reported is a case of aseptic knee effusion associated with the presence of a calcified guinea worm, Dracunculus medinensis, in close proximity to the joint. The patient, a native of Nigeria, presented with chronic right knee pain and swelling. He did well with symptomatic treatment including non-steroidal antiinflammatory drugs, rest, ice, and elevation of the leg. Dracunculiasis is prevalent in parts of Asia and Africa, but has been described only rarely in the United States.
Noji
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D000038:Abscess / Q000175:diagnosis / Q000209:etiology*; D000328:Adult; D002114:Calcinosis / Q000150:complications / Q000175:diagnosis; D004320:Dracunculiasis / Q000150:complications* / Q000175:diagnosis; D004630:Emergencies; D006801:Humans; D007592:Joint Diseases / Q000175:diagnosis / Q000209:etiology*; D007719:Knee Joint; D008297:Male