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.
Weiser
J A
JA
Department of Dermatology, Columbia University Medical Center, New York, New York 10032, USA. jw2690@columbia.edu
Scully
B E
BE
Bulman
W A
WA
Husain
S
S
Grossman
M E
ME
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