Premium
Disseminated cat‐scratch disease presenting as nausea, diarrhea, and weight loss without fever in a heart transplant recipient
Author(s) -
Antar Annukka A. R.,
Goyal Amit,
Murphy Karly,
Schimmel Matthew,
Gilotra Nisha A.,
Martin Isabella,
Crane Genevieve Marie,
Sciortino Christopher,
Avery Robin K.,
Houston Brian A.
Publication year - 2017
Publication title -
transplant infectious disease
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.69
H-Index - 67
eISSN - 1399-3062
pISSN - 1398-2273
DOI - 10.1111/tid.12678
Subject(s) - bartonella henselae , medicine , cat scratch disease , nausea , doxycycline , vomiting , diarrhea , lymph node , lymph node biopsy , weight loss , pathology , serology , gastroenterology , disease , immunology , antibiotics , antibody , microbiology and biotechnology , biology , obesity
We report the case of an afebrile 59‐year‐old heart transplant recipient presenting with nausea, vomiting, diarrhea, weight loss, and diffuse lymphadenopathy. Lymph node biopsies revealed non‐caseating granulomatous inflammation. Cat‐scratch disease was confirmed by serologic studies, Warthin‐Starry staining, and polymerase chain reaction testing of lymph node tissue. The patient's symptoms resolved with 3 months of doxycycline. We review clinical presentations of B artonella henselae infection and review diagnostic approaches for B . henselae in this patient population.