Periumbilical parasitic thumbprint purpura: strongyloides hyperinfection syndrome acquired from a cadaveric renal transplant.
Periumbilical parasitic thumbprint purpura may be a presenting sign of hyperinfection strongyloidiasis in the immunocompromised host. We report a case of fatal hyperinfection strongyloidiasis acquired from a cadaveric renal allograft, diagnosed by the pathognomonic periumbilical thumbprint purpuric eruption, confirmed by skin biopsy and laboratory testing.
Department of Dermatology, Columbia University Medical Center, New York, New York 10032, USA. jw2690@columbia.edu
J A
JA
Weiser
B E
BE
Scully
W A
WA
Bulman
S
S
Husain
M E
ME
Grossman
D000368:Aged; D000818:Animals; D001706:Biopsy; D002102:Cadaver; D017809:Fatal Outcome; D006801:Humans; D007668:Kidney / Q000469:parasitology*; D016030:Kidney Transplantation / Q000009:adverse effects*; D008297:Male; D011693:Purpura / Q000175:diagnosis / Q000469:parasitology* / Q000473:pathology; D012867:Skin / Q000469:parasitology / Q000473:pathology; D017445:Skin Diseases, Vascular / Q000469:parasitology / Q000473:pathology; D017171:Strongyloides stercoralis / Q000302:isolation & purification*; D013322:Strongyloidiasis / Q000175:diagnosis / Q000469:parasitology* / Q000473:pathology; D013577:Syndrome; D014019:Tissue Donors