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Transpl Infect Dis ; 14(5): E71-81, 2012 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-22862881

RESUMO

Bartonella henselae, the etiologic agent of cat-scratch disease, causes a well-defined, self-limited syndrome of fever and regional lymphadenopathy in immunocompetent hosts. In immunocompromised hosts, however, B. henselae can cause severe disseminated disease and pathologic vasoproliferation known as bacillary angiomatosis (BA) or bacillary peliosis. BA was first recognized in patients infected with human immunodeficiency virus. It has become more frequently recognized in solid organ transplant (SOT) recipients, but reports of pediatric cases remain rare. Our review of the literature revealed only one previously reported case of BA in a pediatric SOT recipient. We herein present 2 pediatric cases, one of which is the first reported case of BA in a pediatric cardiac transplant recipient, to our knowledge. In addition, we review and summarize the literature pertaining to all cases of B. henselae-mediated disease in SOT recipients.


Assuntos
Angiomatose Bacilar/diagnóstico , Bartonella henselae/isolamento & purificação , Doença da Arranhadura de Gato/diagnóstico , Transplante de Coração/efeitos adversos , Transplante de Rim/efeitos adversos , Angiomatose Bacilar/tratamento farmacológico , Angiomatose Bacilar/microbiologia , Animais , Antibacterianos/uso terapêutico , Doença da Arranhadura de Gato/tratamento farmacológico , Doença da Arranhadura de Gato/microbiologia , Gatos , Criança , Feminino , Humanos , Masculino
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