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

doi:10.1111/tid.12678

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

School of Medicine

Research output: Contribution to journal › Article

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)
Article number	e12678
Journal	Transplant Infectious Disease
Volume	19
Issue number	3
DOIs	https://doi.org/10.1111/tid.12678
State	Published - Jun 1 2017

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Keywords

Bartonella henselae
gastrointestinal illness
granulomatous inflammation
solid organ transplant

ASJC Scopus subject areas

Transplantation
Infectious Diseases

Cite this

Antar, A. A. R., Goyal, A., Murphy, K., Schimmel, M., Gilotra, N. A., Martin, I., Crane, G. M., Sciortino, C., Avery, R. K., & Houston, B. A. (2017). Disseminated cat-scratch disease presenting as nausea, diarrhea, and weight loss without fever in a heart transplant recipient. Transplant Infectious Disease, 19(3), [e12678]. https://doi.org/10.1111/tid.12678

Disseminated cat-scratch disease presenting as nausea, diarrhea, and weight loss without fever in a heart transplant recipient. / Antar, Annukka A.R.; Goyal, Amit; Murphy, Karly; Schimmel, Matthew; Gilotra, Nisha A.; Martin, Isabella; Crane, Genevieve Marie; Sciortino, Christopher; Avery, Robin K.; Houston, Brian A.

In: Transplant Infectious Disease, Vol. 19, No. 3, e12678, 01.06.2017.

Research output: Contribution to journal › Article

Antar, Annukka A.R. ; Goyal, Amit ; Murphy, Karly ; Schimmel, Matthew ; Gilotra, Nisha A. ; Martin, Isabella ; Crane, Genevieve Marie ; Sciortino, Christopher ; Avery, Robin K. ; Houston, Brian A. / Disseminated cat-scratch disease presenting as nausea, diarrhea, and weight loss without fever in a heart transplant recipient. In: Transplant Infectious Disease. 2017 ; Vol. 19, No. 3.

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Access to Document

10.1111/tid.12678