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 language | English (US) |
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Article number | e12678 |
Journal | Transplant Infectious Disease |
Volume | 19 |
Issue number | 3 |
DOIs | |
State | Published - Jun 1 2017 |
Keywords
- Bartonella henselae
- gastrointestinal illness
- granulomatous inflammation
- solid organ transplant
ASJC Scopus subject areas
- Transplantation
- Infectious Diseases