Within recent time we have seen a few overt cases of helminthiasis at our hospital. The most notable, was the case of a nine-year-old female who presented with a three day history of fever and two day history of cough. She was found to have a massive left sided pleural effusion by Computed Tomography (CT) scan which was drained by an intercostal chest tube. Ascaris Lumbricoides was detected on microscopy of the chest tube tip after its removal, however, no peripheral eosinophilia was recorded throughout hospital admission. The patient was treated with mebendazole and subsequently showed marked improvement.