Adult worm may be felt beneath the skin}Local redness, tenderness, and blister (usually on the foot) at the point where the worm comes out of the skin to discharge larvae into the water }There may be fever, nausea, vomiting, diarrhoea, dyspnoea, generalised urticaria, and eosinophilia before vesicle formation}Complications may include cellulitis, septicaemia, and aseptic or pyogenic arthritis; tetanus may also occur