Cat-scratch disease relapse in a kidney transplant recipient.

Abstract

Cat-scratch disease, an infectious illness infrequently reported in kidney transplant patients, is caused by the organism Bartonella henselae and is transmitted through contact with cats or kittens. It is a self-limited disorder in the general pediatric population. Here we present a case of unsuspected cat-scratch disease in a pediatric kidney transplant patient who presented with fever and lymphadenopathy. Eight months after treatment with a short course of azithromycin, the patient developed a recurrence of cat-scratch disease. We emphasize that the evaluation of a young immunocompromised kidney transplant patient presenting with fever and lymphadenopathy should include unusual infections such as cat-scratch disease. We review the diagnosis and treatment of this uncommon infection in the organ transplant population.

• Authors: Michelle N Rheault, Jo-Anne van Burik, Michael Mauer, Elizabeth Ingulli, Patricia Ferrieri, Jose Jessurun, Blanche M Chavers
• Journal: Pediatric transplantation (Pediatr Transplant) Vol. 11 Issue 1 Pg. 105-9 (Feb 2007) ISSN: 1397-3142 [Print] Denmark
• PMID: 17239132 (Publication Type: Case Reports, Journal Article, Research Support, N.I.H., Extramural)

Chemical References

• Anti-Bacterial Agents

Topics

• Adult
• Anti-Bacterial Agents (therapeutic use)
• Biopsy
• Cat-Scratch Disease (diagnosis, drug therapy)
• Drug Therapy, Combination
• Female
• Humans
• Kidney Transplantation (adverse effects, pathology)
• Postoperative Complications (microbiology)
• Recurrence
• Treatment Outcome