Serious and Atypical Presentations of Bartonella henselae Infection in Kidney Transplant Recipients

Author:

Bos Feline1,Chauveau Bertrand23,Ruel Jules1,Fontant Gabriel1,Campistron Elise1,Meunier Camille1,Jambon Frédéric1,Moreau Karine1,Delmas Yahsou1,Couzi Lionel13,Korbi Skander2,Charrier Manon1,Viallard Jean-François34,Luciani Léa5,Merville Pierre13,Lazaro Estibaliz34,Kaminski Hannah13

Affiliation:

1. Department of Nephrology, Transplantation, Dialysis and Apheresis, Bordeaux University Hospital, Bordeaux, France

2. Department of Pathology, Bordeaux University Hospital, Bordeaux, France

3. Centre National de Recherche Scientifique Unité de Recherche Mixte 5164 ImmunoConcEpT, Bordeaux University, Bordeaux, France

4. Department of Internal Medicine, Bordeaux University Hospital, Bordeaux, France

5. Centre National de Référence des Rickettsies, Coxiella et Bartonella Institut Hospitalo-Universitaire-Méditerranée Infection, Assistance Publique de Hôpitaux de Marseille, Marseille, France

Abstract

Abstract This article describes 5 cases of bartonellosis with fever and atypical clinical presentations in kidney transplant recipients: thrombotic microangiopathies, recurrent hemophagocytosis, and immune reconstitution syndrome after treatment. The diagnosis, the pathological lesions, and treatments are described. Bartonellosis must be researched in solid organ transplant recipients with fever of undetermined origin.

Publisher

Oxford University Press (OUP)

Subject

Infectious Diseases,Oncology

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