Who calls himself a worm?
Chulin 89A: David said so about himself. When Hashem gives grandeur to Yisrael, they lower themselves!
Rashi: The verse refers to all of Yisrael like one person.
Radak: Yisrael, in exile.
Malbim: It is the one who calls to Hashem, and he is not answered.
Why does it say "v'Lo Ish"?
Radak: I am not considered a man in their (the nations') eyes.
Malbim: Refer to 22:7:3:1.
Why does it say "Cherpas Adam"?
Malbim: Regarding the attributes of a man over a worm, I am not a man. Regarding shame, they revile me like a man, and not like a worm, which does not heed shame.
Why does it say "u'Vezuy Am"?
Malbim: Regarding shame, I am not in their (the nations') eyes like a man, rather, like an Am 1 (a collection of many people).