title: Cat scratch disease in an immunosuppressed patient with systemic lupus erythematosus.
abstract: Cat scratch disease is an infectious disorder transmitted by cats that typically affects children and young adults. Immunosuppression is a well-known risk factor for the development of severe and atypical forms of the disease; hence it is under-diagnosed in patients with compromised immunity. We are reporting the first case of cat scratch disease, which presented as fever and fatigue, in a patient with systemic lupus erythematosus while receiving immunosuppressant therapy after a kidney transplant.
authors.affiliation: Systemic Autoimmune Diseases Unit. Internal Medicine Department, Virgen de las Nieves University Hospital, Granada, Spain joseantoniovh@hotmail.com.
authors.forename: J A
authors.initials: JA
authors.lastname: Vargas-Hitos
authors.affiliation: Systemic Autoimmune Diseases Unit. Internal Medicine Department, Virgen de las Nieves University Hospital, Granada, Spain.
authors.forename: J M
authors.initials: JM
authors.lastname: Sabio
authors.affiliation: Systemic Autoimmune Diseases Unit. Internal Medicine Department, Virgen de las Nieves University Hospital, Granada, Spain.
authors.forename: N
authors.initials: N
authors.lastname: Navarrete-Navarrete
authors.affiliation: Systemic Autoimmune Diseases Unit. Internal Medicine Department, Virgen de las Nieves University Hospital, Granada, Spain.
authors.forename: M del M
authors.initials: Mdel M
authors.lastname: Arenas-Miras
authors.affiliation: Systemic Autoimmune Diseases Unit. Internal Medicine Department, Virgen de las Nieves University Hospital, Granada, Spain.
authors.forename: M
authors.initials: M
authors.lastname: Zamora-Pasadas
authors.affiliation: Systemic Autoimmune Diseases Unit. Internal Medicine Department, Virgen de las Nieves University Hospital, Granada, Spain.
authors.forename: J
authors.initials: J
authors.lastname: Jiménez-Alonso
mesh_terms: D000368:Aged; D000818:Animals; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D002372:Cat-Scratch Disease / Q000188:drug therapy / Q000276:immunology* / Q000382:microbiology / Q000635:transmission; D002415:Cats; D005221:Fatigue / Q000276:immunology / Q000382:microbiology; D005260:Female; D005334:Fever / Q000382:microbiology; D006801:Humans; D016867:Immunocompromised Host; D007166:Immunosuppressive Agents / Q000009:adverse effects*; D016030:Kidney Transplantation / Q000009:adverse effects*; D008180:Lupus Erythematosus, Systemic / Q000150:complications / Q000175:diagnosis / Q000276:immunology*; D008181:Lupus Nephritis / Q000276:immunology / Q000601:surgery*; D016896:Treatment Outcome
chemical_list: D000900:Anti-Bacterial Agents; D007166:Immunosuppressive Agents
keywords: Bartonella; Cat scratch disease; immunosuppression; systemic lupus erythematosus; transplantation