Disseminated cat-scratch disease presenting as nausea, diarrhea, and weight loss without fever in a heart transplant recipient.
Annukka A R AntarAmit GoyalKarly MurphyMatthew SchimmelNisha A GilotraIsabella MartinGenevieve Marie CraneChristopher SciortinoRobin K AveryBrian A HoustonPublished in: Transplant infectious disease : an official journal of the Transplantation Society (2017)
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 Bartonella henselae infection and review diagnostic approaches for B. henselae in this patient population.
Keyphrases
- lymph node
- weight loss
- case report
- chemotherapy induced
- bariatric surgery
- neoadjuvant chemotherapy
- heart failure
- roux en y gastric bypass
- sentinel lymph node
- gastric bypass
- oxidative stress
- irritable bowel syndrome
- clostridium difficile
- atrial fibrillation
- single cell
- type diabetes
- squamous cell carcinoma
- insulin resistance
- radiation therapy
- sleep quality
- glycemic control
- depressive symptoms
- high grade