title: Cat Scratch Disease in kidney transplant receptors: is it a rare or underdiagnosed pathology?
abstract: Cat Scratch Disease (CSD) is an infectious disorder which appears after cat scratching particularly in children and adolescents. Bartonella henselae is the etiologic agent more frequently involved. There are only a few recent reports demonstrating the disease after transplantation, although the illness is not infrequent in immunologically competent people. Indeed CSD in transplant receptors has only been recently emphasized in the literature and it was concluded that fever and lymphadenopathy in patients who had been exposed to cats should prompt clinicians to maintain a suspicion for the infection. In this report CSD infecting a renal transplanted adolescent complaining of headache, blurred vision and fever, presenting a cat scratching lesion in the right arm, with a bilateral painful cervical lymphadenopathy was related. He also presented indirect immunofluorescency identifying that the two subtype's titles of Bartonella--henselae and quintana--were elevated. Treatment with doxicicline e rifampicin was introduced and the patient became asymptomatic in about 3 weeks.
authors.affiliation: Pontifícia Universidade Católica do Rio Grande do Sul.
authors.forename: Ana Maria Teixeira
authors.initials: AM
authors.lastname: Verçoza
authors.affiliation: Pontifícia Universidade Católica do Rio Grande do Sul.
authors.forename: Carlos Abaeté
authors.initials: CA
authors.lastname: de los Santos
authors.affiliation: Pontifícia Universidade Católica do Rio Grande do Sul.
authors.forename: José Amadeu
authors.initials: JA
authors.lastname: Vargas
mesh_terms: D000293:Adolescent; D002372:Cat-Scratch Disease / Q000175:diagnosis*; D006801:Humans; D016030:Kidney Transplantation; D008297:Male; D011183:Postoperative Complications / Q000175:diagnosis*