Piscine Adult Nematode Invading an Open Lesion in a Human Hand

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  • * Fishery Research Branch, Food and Drug Administration, Dauphin Island, Alabama 36528
  • | ** Gulf Coast Research Laboratory, Ocean Springs, Mississippi 39564
  • | John A. Burns School of Medicine, University of Hawaii, Honolulu, Hawaii 96822
  • | St. Francis Medical Office Building, Honolulu, Hawaii 96817
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The first case of an adult, parasitic nematode entering an open lesion is reported. A female dracunculoid, Philometra sp., invaded a puncture wound in a fisherman's hand while he was filleting an infected carangid fish, Caranx melampygus, in Hawaii. This accidental infection represents a previously unrecognized risk in handling uncooked, infected fish.