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Kidney Week

Abstract: SA-PO1168

Molluscum contagiosum Infection in a Kidney Transplant Recipient Presented with Vomiting and AKI

Session Information

Category: Transplantation

  • 2002 Transplantation: Clinical

Author

  • Ram, Vignesh V., Dr D Y Patil Vidyapeeth (Deemed to be University), Pune, MH, India

Group or Team Name

  • Dr DY Patil Medical College and Research Centre
Introduction

Molluscum contagiosum is an opportunistic viral infection that may present with atypical and extensive manifestations in immunocompromised individuals, particularly solid organ transplant recipients receiving long-term immunosuppressive therapy. Early diagnosis is important to prevent morbidity and preserve graft function.

Case Description

A 24-year-old male, a live related renal transplant recipient (father-to-son donor) with underlying primary renal disease, presented with multiple skin eruptions associated with generalized weakness and vomiting for 10 days. On evaluation, the patient was found to have acute kidney injury (AKI). Dermatological assessment of the cutaneous lesions was performed, and skin biopsy confirmed the diagnosis of molluscum contagiosum. The patient underwent cryotherapy for the lesions. In view of worsening renal function, he required hemodialysis support during hospitalization. Following supportive management and close monitoring, renal function gradually improved, with recovery of AKI and return of serum creatinine to baseline levels. The patient was discharged in stable condition.

Discussion

Molluscum contagiosum should be considered in the differential diagnosis of cutaneous eruptions in renal transplant recipients on immunosuppressive therapy. Histopathological confirmation and prompt treatment can aid in favorable outcomes. This case highlights the occurrence of opportunistic viral skin infection in a renal transplant recipient complicated by AKI requiring temporary hemodialysis, with subsequent recovery of graft function.