“I had a horrific feeling of something crawling up my nose”, begins this reader in her submission about the worm-like creature pictured below. “I blew my nose continuously and it still hurt. When I breathed in, it hurt. I sneezed and sneezed. Finally, I blew out this tiny worm, white/beige: it had a sharp point at the end. I felt intense relief. I had no other symptoms. It is about 1 cm (0.4-inches). It was very much alive! Now, I am paranoid that I am infested with pupae. Do you think this could be a one time event? We live in the country, deep in the woods, in the South. We do have all sorts of insects around. I do my best to keep them out of the house. I will enclose a picture. Thank you so much!”