Disseminated cat-scratch disease presenting as nausea, diarrhea, and weight loss without fever in a heart transplant recipient

Annukka A.R. Antar, Amit Goyal, Karly Murphy, Matthew Schimmel, Nisha A. Gilotra, Isabella Martin, Genevieve Marie Crane, Christopher Sciortino, Robin K. Avery, Brian A. Houston

Research output: Contribution to journalArticle

Abstract

We report the case of an afebrile 59-year-old heart transplant recipient presenting with nausea, vomiting, diarrhea, weight loss, and diffuse lymphadenopathy. Lymph node biopsies revealed non-caseating granulomatous inflammation. Cat-scratch disease was confirmed by serologic studies, Warthin-Starry staining, and polymerase chain reaction testing of lymph node tissue. The patient's symptoms resolved with 3 months of doxycycline. We review clinical presentations of Bartonella henselae infection and review diagnostic approaches for B. henselae in this patient population.

Original languageEnglish (US)
Article numbere12678
JournalTransplant Infectious Disease
Volume19
Issue number3
DOIs
StatePublished - Jun 1 2017

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Keywords

  • Bartonella henselae
  • gastrointestinal illness
  • granulomatous inflammation
  • solid organ transplant

ASJC Scopus subject areas

  • Transplantation
  • Infectious Diseases

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