{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,9]],"date-time":"2026-03-09T23:22:05Z","timestamp":1773098525833,"version":"3.50.1"},"reference-count":33,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2013,1,20]],"date-time":"2013-01-20T00:00:00Z","timestamp":1358640000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Transplant Infectious Dis"],"published-print":{"date-parts":[[2013,4]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>Erythema nodosum (<jats:styled-content style=\"fixed-case\">EN<\/jats:styled-content>)\u2010like lesions are a rare occurrence after solid organ transplantation. Differential diagnosis includes infective panniculitis, which can be a feature of progressive disseminated histoplasmosis (<jats:styled-content style=\"fixed-case\">PDH<\/jats:styled-content>), an uncommon but severe form affecting primarily immunocompromised hosts. We report on a fatal case of <jats:styled-content style=\"fixed-case\">PDH<\/jats:styled-content>, which presented as fungal panniculitis masquerading as <jats:styled-content style=\"fixed-case\">EN<\/jats:styled-content> in a renal allograft recipient 25\u00a0years after transplantation. We discuss the clinical, histopathological, and microbiological characteristics of this rare complication, with focus on its distinction from <jats:styled-content style=\"fixed-case\">EN<\/jats:styled-content>. This case emphasizes the central role of biopsy in transplant recipients presenting with cutaneous lesions, and the importance of clinicopathologic correlation and complementary microbiological investigations.<\/jats:p>","DOI":"10.1111\/tid.12052","type":"journal-article","created":{"date-parts":[[2013,1,21]],"date-time":"2013-01-21T04:25:40Z","timestamp":1358742340000},"source":"Crossref","is-referenced-by-count":7,"title":["Histoplasmosis and subcutaneous nodules in a kidney transplant recipient: erythema nodosum versus fungal panniculitis"],"prefix":"10.1111","volume":"15","author":[{"given":"S.F.","family":"Dufresne","sequence":"first","affiliation":[{"name":"Division of Infectious Diseases Department of Medicine Johns Hopkins University School of Medicine Baltimore Maryland USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"R.E.","family":"LeBlanc","sequence":"additional","affiliation":[{"name":"Department of Pathology Johns Hopkins University School of Medicine Baltimore Maryland USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"S.X.","family":"Zhang","sequence":"additional","affiliation":[{"name":"Department of Pathology Johns Hopkins University School of Medicine Baltimore Maryland USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"K.A.","family":"Marr","sequence":"additional","affiliation":[{"name":"Division of Infectious Diseases Department of Medicine Johns Hopkins University School of Medicine Baltimore Maryland USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"D.","family":"Neofytos","sequence":"additional","affiliation":[{"name":"Division of Infectious Diseases Department of Medicine Johns Hopkins University School of Medicine Baltimore Maryland USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2013,1,20]]},"reference":[{"key":"e_1_2_5_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.det.2008.05.014"},{"key":"e_1_2_5_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.det.2008.05.008"},{"key":"e_1_2_5_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.det.2008.05.005"},{"issue":"2","key":"e_1_2_5_5_1","doi-asserted-by":"crossref","first-page":"288","DOI":"10.4269\/ajtmh.1971.20.288","article-title":"Worldwide pattern of skin sensitivity to histoplasmin","volume":"20","author":"Edwards PQ","year":"1971","journal-title":"Am J Trop Med Hyg"},{"key":"e_1_2_5_6_1","first-page":"1154","article-title":"Histoplasmosis in Montreal during the fall of 1963, with observations on erythema multiforme","volume":"91","author":"Leznoff A","year":"1964","journal-title":"Can Med Assoc J"},{"key":"e_1_2_5_7_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJM196602242740801"},{"key":"e_1_2_5_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0733-8635(05)70332-6"},{"key":"e_1_2_5_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0891-5520(02)00039-9"},{"issue":"4","key":"e_1_2_5_10_1","doi-asserted-by":"crossref","first-page":"345","DOI":"10.1001\/archderm.1967.01600340005001","article-title":"Unusual cutaneous infections associated with immunosuppressive therapy","volume":"95","author":"Park RK","year":"1967","journal-title":"Arch Dermatol"},{"key":"e_1_2_5_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/0002-9343(67)90146-5"},{"key":"e_1_2_5_12_1","doi-asserted-by":"publisher","DOI":"10.7326\/0003-4819-86-5-586"},{"key":"e_1_2_5_13_1","doi-asserted-by":"publisher","DOI":"10.1097\/00007611-197703000-00031"},{"key":"e_1_2_5_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/0002-9343(83)91179-8"},{"issue":"7","key":"e_1_2_5_15_1","doi-asserted-by":"crossref","first-page":"914","DOI":"10.1001\/archderm.1985.01660070104028","article-title":"Histoplasma panniculitis","volume":"121","author":"Abildgaard WH","year":"1985","journal-title":"Arch Dermatol"},{"key":"e_1_2_5_16_1","doi-asserted-by":"publisher","DOI":"10.1016\/0190-9622(91)70146-S"},{"key":"e_1_2_5_17_1","doi-asserted-by":"publisher","DOI":"10.1097\/00124743-199712000-00011"},{"key":"e_1_2_5_18_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.rhu.0000083606.71931.79"},{"key":"e_1_2_5_19_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10067-007-0655-5"},{"key":"e_1_2_5_20_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1399-3062.2007.00293.x"},{"key":"e_1_2_5_21_1","doi-asserted-by":"publisher","DOI":"10.1080\/03009740902776935"},{"key":"e_1_2_5_22_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1467-8365.2005.00105.x"},{"key":"e_1_2_5_23_1","doi-asserted-by":"publisher","DOI":"10.1086\/604712"},{"key":"e_1_2_5_24_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1399-3062.2011.00658.x"},{"key":"e_1_2_5_25_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1399-3062.2009.00474.x"},{"key":"e_1_2_5_26_1","doi-asserted-by":"publisher","DOI":"10.1097\/00000372-198910000-00005"},{"key":"e_1_2_5_27_1","doi-asserted-by":"publisher","DOI":"10.1016\/S1085-5629(96)80042-3"},{"key":"e_1_2_5_28_1","doi-asserted-by":"publisher","DOI":"10.1097\/MOT.0b013e3283329c9a"},{"key":"e_1_2_5_29_1","doi-asserted-by":"publisher","DOI":"10.1093\/cid\/cir435"},{"key":"e_1_2_5_30_1","doi-asserted-by":"publisher","DOI":"10.1086\/649056"},{"key":"e_1_2_5_31_1","doi-asserted-by":"publisher","DOI":"10.1128\/CVI.00479-06"},{"key":"e_1_2_5_32_1","doi-asserted-by":"publisher","DOI":"10.2307\/4591764"},{"key":"e_1_2_5_33_1","doi-asserted-by":"publisher","DOI":"10.1080\/13693780802247736"},{"key":"e_1_2_5_34_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1399-3062.2012.00763.x"}],"container-title":["Transplant Infectious Disease"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2Ftid.12052","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/tid.12052","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,11,22]],"date-time":"2023-11-22T04:18:55Z","timestamp":1700626735000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/tid.12052"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2013,1,20]]},"references-count":33,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2013,4]]}},"alternative-id":["10.1111\/tid.12052"],"URL":"https:\/\/doi.org\/10.1111\/tid.12052","archive":["Portico"],"relation":{},"ISSN":["1398-2273","1399-3062"],"issn-type":[{"value":"1398-2273","type":"print"},{"value":"1399-3062","type":"electronic"}],"subject":[],"published":{"date-parts":[[2013,1,20]]}}}