Norwegian Scabies Complicated by Fatal Brain Abscess in a Renal Transplant Patient

Mansy, Hatem; Somorin, A. O.; El-Sherif, Mona; Eze, Callistus; Al-Dusari, Saad; Filobbos, Philip

doi:10.1159/000188866

Cited by 12 publications

(8 citation statements)

References 4 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Multiple crusted keratotic plaques and nodules with secondary staphylococcal infection, hyperkeratosis of palms and soles and periungual lesions with intense nocturnal pruritus have been reported in most of the patients [23].…”

Section: Scabiesmentioning

confidence: 99%

Skin Manifestations in Solid Organ Transplant Recipients

Tsambaos

Badavanis

2001

Skin Pharmacol Physiol

View full text Add to dashboard Cite

show abstract

Section: Scabiesmentioning

confidence: 99%

Skin Manifestations in Solid Organ Transplant Recipients

Tsambaos

Badavanis

2001

Skin Pharmacol Physiol

View full text Add to dashboard Cite

show abstract

“…Immunocompromised patients, such as organ transplant recipients (OTR) are at increased risk for various infections. Several cases of scabies have been reported in OTR, including recipients of kidney, liver, and bone marrow allografts . However, the precise incidence of scabies in OTR is not well known.…”

Section: Discussionmentioning

confidence: 99%

“…Scabies in the immuncompromised host often assumes a severe, florid form, known as crusted (or hyperkeratotic or Norwegian) scabies, characterized by the presence of an enormous number (estimated to almost 16 million) of mites in the total skin surface . The altered host‐parasite relationship during immunosuppression is likely responsible for the excessive proliferation of mites in the skin.…”

Section: Discussionmentioning

confidence: 99%

Scabies in a bilateral hand allograft recipient: An additional mimicker of acute skin rejection in vascularized composite allotransplantation

Kanitakis

Morélon

2017

Transplant Infectious Dis

View full text Add to dashboard Cite

Vascularized composite tissue allografts include skin, which frequently undergoes, in the early post-graft period, acute rejections. The diagnosis of acute rejection may be difficult as it can be mimicked by several dermatoses. We present a bilateral hand allograft recipient who developed, 16.5 years post-graft, cutaneous lesions raising suspicion about rejection. Physical examination and skin biopsy were diagnostic of scabies. This ectoparasitosis should be added in the list of dermatoses that can mimic allograft rejection in vascular composite allografts.

show abstract

“…Failure to recognize and treat crusted scabies in a renal transplant recipient resulted in secondary skin infection and staphylococcal brain abscess, which proved fatal. [6] Early warning regarding the atypical forms of scabies in renal transplant patients were sounded by Wolf et al . [7]…”

Section: Discussionmentioning

confidence: 99%

Norwegian scabies in a renal transplant patient

et al. 2010

View full text Add to dashboard Cite

A variety of skin infections are encountered in postrenal transplant setting. Though bacterial and fungal infections are more common, surprises are in store for us sometimes. We describe a patient who underwent renal transplant two years ago, presenting with a painless, mildly pruritic expanding skin rash over abdomen. Histological examination of the skin biopsy showed that stratum corneum had multiple burrows containing larvae and eggs of Sarcoptes scabiei. The patient was treated with ivermectin 12 mg weekly once for 2 doses along with topical 5% permethrin and permethrin soap bath. There was remarkable improvement in the skin lesions with complete resolution in two weeks. Norwegian or crusted scabies is caused by massive infestation with Sarcoptes scabiei var. hominis. It can be rarely encountered in the post-transplant setting, which underscores the importance of early diagnosis and treatment before secondary bacterial infection sets in.

show abstract

Norwegian Scabies Complicated by Fatal Brain Abscess in a Renal Transplant Patient

Cited by 12 publications

References 4 publications

Skin Manifestations in Solid Organ Transplant Recipients

Skin Manifestations in Solid Organ Transplant Recipients

Scabies in a bilateral hand allograft recipient: An additional mimicker of acute skin rejection in vascularized composite allotransplantation

Norwegian scabies in a renal transplant patient

Contact Info

Product

Resources

About