title: 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.affiliation: Department of Pediatrics, University of Minnesota, Minneapolis, MN 55455, USA.
authors.forename: Michelle N
authors.initials: MN
authors.lastname: Rheault
authors.forename: Jo-Anne
authors.initials: JA
authors.lastname: van Burik
authors.forename: Michael
authors.initials: M
authors.lastname: Mauer
authors.forename: Elizabeth
authors.initials: E
authors.lastname: Ingulli
authors.forename: Patricia
authors.initials: P
authors.lastname: Ferrieri
authors.forename: Jose
authors.initials: J
authors.lastname: Jessurun
authors.forename: Blanche M
authors.initials: BM
authors.lastname: Chavers
mesh_terms: D000328:Adult; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D001706:Biopsy; D002372:Cat-Scratch Disease / Q000175:diagnosis* / Q000188:drug therapy*; D004359:Drug Therapy, Combination; D005260:Female; D006801:Humans; D016030:Kidney Transplantation / Q000009:adverse effects* / Q000473:pathology; D011183:Postoperative Complications / Q000382:microbiology*; D012008:Recurrence; D016896:Treatment Outcome
chemical_list: D000900:Anti-Bacterial Agents