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 journalArticlepeer-review

2 Scopus citations


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


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

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Pathology and Forensic Medicine


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