Diagnostic dilemma: Woman's 'biologically implausible' infection led her to sneeze 'worms' out of her nose

Two images labeled A and B show translucent yellow worms with small red stripes and large black eyes in a plastic petri dish.

The patient: A 58-year-old woman in Greece

The symptoms: The patient, who worked outdoors on a Greek island, developed pain around the center of her face that grew progressively worse. About two to three weeks after this pain began, she also developed a severe cough.