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

Research output: Contribution to journalArticle

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 languageEnglish
Pages (from-to)164-166
Number of pages3
JournalPediatric and Developmental Pathology
Volume18
Issue number2
DOIs
StatePublished - Mar 1 2015

Keywords

  • Doxycycline
  • Filariasis
  • Ivermectin
  • Onchocerca
  • Onchocerciasis
  • Wolbachia

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    Westblade, L. F., Fischer, P. U., Haghi, N., Schniederjan, M. J., Pritt, B. S., Long, J. G., Jerris, R. C., & Garola, R. E. (2015). A five-year-old child with a subcutaneous forehead nodule. Pediatric and Developmental Pathology, 18(2), 164-166. https://doi.org/10.2350/14-08-1545-CR.1