Atypical Manifestation of Enterobius vermicularis Infestation in Adults: A Report of a Rare Case

<i>Enterobius vermicularis</i>, commonly known as pinworm, is a parasitic nematode primarily affecting children, with adult infestations being rare. The infection is typically transmitted via the fecal-oral route and is characterized by intense perianal itching, particularly at night. We present a case of a 39-year-old male with an unusual case of <i>E. vermicularis</i> infestation. He initially presented to the outpatient department with complaints of a diabetic foot ulcer, and <i>E. vermicularis</i> infestation was an incidental finding. This is an unusual presentation in adults. Adult <i>Enterobius</i> infestation must be suspected in patients with comorbidities and poor hygiene who present with persistent perianal pruritus.