A five-year-old child with a subcutaneous forehead nodule

Lars F. Westblade; Peter U. Fischer; Nina Haghi; Matthew J. Schniederjan; Bobbi S. Pritt; John G. Long; Robert C. Jerris; Robert E. Garola

doi:10.2350/14-08-1545-CR.1

A five-year-old child with a subcutaneous forehead nodule

Lars F. Westblade, Peter U. Fischer, Nina Haghi, Matthew J. Schniederjan, Bobbi S. Pritt, John G. Long, Robert C. Jerris, Robert E. Garola

Laboratory Medicine and Pathology

Research output: Contribution to journal › Article › peer-review

2 Scopus citations

Abstract

We describe a case of a 5-year-old girl with onchocerciasis. The patient was recently adopted from Ethiopia and presented with a firm, raised nodule on the midportion of the forehead. Initially, Langerhans cell histiocytosis with bone involvement was suspected; however, histopathologic analysis of the excised nodule revealed the presence of a young-adult, female Onchocerca volvulus worm. This case exemplifies the importance of recognizing the key morphologic characteristics of adult O. volvulus worms isolated from pediatric patients in nonendemic areas to ensure adroit clinical management.

Original language	English (US)
Pages (from-to)	164-166
Number of pages	3
Journal	Pediatric and Developmental Pathology
Volume	18
Issue number	2
DOIs	https://doi.org/10.2350/14-08-1545-CR.1
State	Published - Mar 1 2015

Keywords

Doxycycline
Filariasis
Ivermectin
Onchocerca
Onchocerciasis
Wolbachia

ASJC Scopus subject areas

Pediatrics, Perinatology, and Child Health
Pathology and Forensic Medicine

Access to Document

10.2350/14-08-1545-CR.1

Cite this

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title = "A five-year-old child with a subcutaneous forehead nodule",

abstract = "We describe a case of a 5-year-old girl with onchocerciasis. The patient was recently adopted from Ethiopia and presented with a firm, raised nodule on the midportion of the forehead. Initially, Langerhans cell histiocytosis with bone involvement was suspected; however, histopathologic analysis of the excised nodule revealed the presence of a young-adult, female Onchocerca volvulus worm. This case exemplifies the importance of recognizing the key morphologic characteristics of adult O. volvulus worms isolated from pediatric patients in nonendemic areas to ensure adroit clinical management.",

keywords = "Doxycycline, Filariasis, Ivermectin, Onchocerca, Onchocerciasis, Wolbachia",

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AU - Westblade, Lars F.

AU - Fischer, Peter U.

AU - Haghi, Nina

AU - Schniederjan, Matthew J.

AU - Pritt, Bobbi S.

AU - Long, John G.

AU - Jerris, Robert C.

AU - Garola, Robert E.

PY - 2015/3/1

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N2 - We describe a case of a 5-year-old girl with onchocerciasis. The patient was recently adopted from Ethiopia and presented with a firm, raised nodule on the midportion of the forehead. Initially, Langerhans cell histiocytosis with bone involvement was suspected; however, histopathologic analysis of the excised nodule revealed the presence of a young-adult, female Onchocerca volvulus worm. This case exemplifies the importance of recognizing the key morphologic characteristics of adult O. volvulus worms isolated from pediatric patients in nonendemic areas to ensure adroit clinical management.

AB - We describe a case of a 5-year-old girl with onchocerciasis. The patient was recently adopted from Ethiopia and presented with a firm, raised nodule on the midportion of the forehead. Initially, Langerhans cell histiocytosis with bone involvement was suspected; however, histopathologic analysis of the excised nodule revealed the presence of a young-adult, female Onchocerca volvulus worm. This case exemplifies the importance of recognizing the key morphologic characteristics of adult O. volvulus worms isolated from pediatric patients in nonendemic areas to ensure adroit clinical management.

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KW - Filariasis

KW - Ivermectin

KW - Onchocerca

KW - Onchocerciasis

KW - Wolbachia

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A five-year-old child with a subcutaneous forehead nodule

Abstract

Keywords

ASJC Scopus subject areas

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