<p>We identified one case-patient. An 18-year old male farmer/hunter/fisherman admitted at Lafon PHCC on August 3, 2022 with symptoms of fever, intense localized itching and burning skin lesion on the right posterior knee joint. The case-patient repeatedly drank water from stagnant surface water sources for more than a year before onset of symptoms on July 13, 2022. He reported an emergence of part of the worm at home on July 27, 2022 before visiting Lafon PHCC on August 3, 2022. We observed several community drinking water sources to be contaminated with water fleas. The worm sample measuring 8-10cm was confirmed positive for Dracunculus medinensis (CDC accession number PDB 22-92) by U.S CDC.</p>