We report an unusual case of extraintestinal infection with adult Enterobius vermicularis worms in the nares and ocular orbit of a 14-year-old girl in Illinois. Only one other similar case has been reported in the English-language literature. CASE REPORTA 14-year-old Caucasian girl presented to the local emergency department (ED) after having removed and discarded what she described as a small motile worm from her eye the night before. On physical examination, she appeared well and her vision was normal. Ocular exam by a nurse revealed a single motile worm beneath the right lower lid in the inferior conjunctival sac which was removed on a cotton swab. The patient was also seen by a physician's assistant who identified and removed three additional worms over a 60-min period. The patient was then seen by an ED physician, and ophthalmology and infectious diseases specialists were consulted.

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