title: Ocular bartonellosis in transplant recipients: two case reports and review of the literature.
abstract: Cat scratch disease is caused by Bartonella henselae and usually manifests as localized lymphadenopathy and fever in immunocompetent patients. Immunocompromised patients are at risk for developing disseminated disease affecting the liver, spleen, eyes, central nervous system, and other organs. Bartonellosis is infrequently reported in solid organ transplant recipients, and published case reports usually discuss disseminated infection. Localized ocular disease with B. henselae, while well documented in immunocompetent hosts, is uncommon in immunocompromised patients. Herein, we present 2 cases of ocular bartonellosis in renal transplant patients, 1 with disseminated infection, and 1 without.
authors.affiliation: Division of Infectious Diseases, Department of Medicine, University of Alabama at Birmingham, Birmingham, Alabama, USA.
authors.forename: R A
authors.initials: RA
authors.lastname: Lee
authors.affiliation: Division of Infectious Diseases, Department of Medicine, University of Alabama at Birmingham, Birmingham, Alabama, USA.
authors.forename: M
authors.initials: M
authors.lastname: Ray
authors.affiliation: Department of Ophthalmology, University of Alabama at Birmingham, Birmingham, Alabama, USA.
authors.forename: D T
authors.initials: DT
authors.lastname: Kasuga
authors.affiliation: Division of Nephrology, Department of Medicine, University of Alabama at Birmingham, Birmingham, Alabama, USA.
authors.forename: V
authors.initials: V
authors.lastname: Kumar
authors.affiliation: Department of Ophthalmology, University of Alabama at Birmingham, Birmingham, Alabama, USA.
authors.forename: C D
authors.initials: CD
authors.lastname: Witherspoon
authors.affiliation: Division of Infectious Diseases, Department of Medicine, University of Alabama at Birmingham, Birmingham, Alabama, USA.|Birmingham Veterans Affairs Medical Center, Birmingham, Alabama, USA.
authors.forename: J W
authors.initials: JW
authors.lastname: Baddley
mesh_terms: D000328:Adult; D018416:Bartonella henselae / Q000302:isolation & purification*; D002372:Cat-Scratch Disease / Q000175:diagnosis* / Q000276:immunology; D015818:Eye Infections, Bacterial / Q000175:diagnosis* / Q000276:immunology; D006801:Humans; D016867:Immunocompromised Host; D016030:Kidney Transplantation; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications / Q000175:diagnosis* / Q000276:immunology
keywords: Bartonella henselae; bartonellosis; cat scratch disease; chorioretinitis; transplant