Abstract: TH-PO588
The Conundrum of a Peculiar Skin Lesion on the Face of a Renal Transplant Recipient
Session Information
- Trainee Case Reports - II
October 25, 2018 | Location: Exhibit Hall, San Diego Convention Center
Abstract Time: 10:00 AM - 12:00 PM
Category: Trainee Case Reports
- 1802 Transplantation: Clinical
Authors
- Saleem, Muhammad Omar, Medical College of Georgia, Augusta University, Augusta, Georgia, United States
- Padala, Sandeep, Medical College of Georgia, Augusta University, Augusta, Georgia, United States
- Smith, Natalie, Medical College of Georgia, Augusta University, Augusta, Georgia, United States
- Kapoor, Rajan, Medical College of Georgia, Augusta University, Augusta, Georgia, United States
Group or Team Name
- Nephron@AU
Introduction
Parasitic infections may be challenging to diagnose especially in transplant population. We present a rare case of cutaneous larva migrans (CLM) at an unusual site in a renal transplant recipient.
Case Description
64 year African American female with a medical history of Autosomal Dominant Polycystic Kidney Disease, who received a cadaveric transplant 3 months ago presented for routine follow up. She had no complaints except that of a disfiguring skin lesion on her forehead associated with itching. She denied fever, cough, other skin involvement, recent travel or exposure to sand beaches or contaminated soil. She does not have any pets. Physical exam revealed an expanding serpiginous papule on her forehead which was extremely pruritic. Home medications were not suggestive of any correlation. All routine labs were normal. She tried some over the counter topical and oral anti-allergic meds with no benefit. Although, a very unusual location but with telling clinical presentation a diagnosis of CLM was made and she was treated with oral Ivermectin. Patient reported complete resolution of her rash 5 days post treatment.
Discussion
Transplant population is prone to myriad of infections including parasitic infestations, incidence of which may be as high as 2.4%. The most common parasitic infection once reported was Strongyloids. Intestinal parasitic infestations are more common in Solid Organ Transplant recepients especially in developing countries. A parasitic infection should always be in the list of differential diagnosis, if clinically suggestive so as to avoid the diagnostic delay and further potential complications. CLM is rarely reported in transplant patients and the lesion on forehead is exceptionally rare. We present successful outpatient management of a rare clinical presentation of CLM.
Face lesion