{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,14]],"date-time":"2026-10-14T10:34:21Z","timestamp":1791974061698,"version":"4.4.0"},"reference-count":28,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2014,2,10]],"date-time":"2014-02-10T00:00:00Z","timestamp":1391990400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Pediatric Transplantation"],"published-print":{"date-parts":[[2014,5]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p><jats:italic><jats:styled-content style=\"fixed-case\">B<\/jats:styled-content>artonella henselae<\/jats:italic> (Bh) is the cause of cat\u2010scratch fever. When infection is symptomatic, it typically presents with singular lymphadenitis and fever. Less commonly, the infection can become disseminated and cause endocarditis, osteomyelitis, and micro\u2010abscesses in multiple sites including liver, spleen, eyes, and brain, especially in immunocompromised patients. Hemophagocytic lymphohistiocytosis (Hlh) is a rare and severe multisystem disorder that may be triggered by infections. In one prior case, Bh, like other infections, has induced Hlh, an immune\u2010mediated disease that can be characterized by septic\u2010like presentation with persistent fevers, hepatosplenomegaly, and pancytopenia. In an immunocompromised transplant recipient, the onset of Hlh can be difficult to discern from a severe presentation of Bh. We report a case of criteria\u2010proven secondary Hlh occurring after Bh infection in an 11\u2010yr\u2010old girl who was 13\u00a0months post\u2010renal transplant. The patient developed multi\u2010organ failure, and her severe clinical presentation required a thorough evaluation for infectious and non\u2010infectious possibilities including post\u2010transplant lymphoproliferative disorder and rejection. Early recognition of Hlh allowed for better directed therapies, leading to recovery of the patient and resolution of both Bh and Hlh.<\/jats:p>","DOI":"10.1111\/petr.12235","type":"journal-article","created":{"date-parts":[[2014,2,10]],"date-time":"2014-02-10T10:21:26Z","timestamp":1392027686000},"source":"Crossref","is-referenced-by-count":30,"title":["<i><scp>B<\/scp>artonella henselae<\/i> infection inducing hemophagocytic lymphohistiocytosis in a kidney transplant recipient"],"prefix":"10.1111","volume":"18","author":[{"given":"Atul","family":"Poudel","sequence":"first","affiliation":[{"name":"Department of Pediatrics University of Florida College of Medicine and Shands Children`s Hospital Gainesville FL USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Judy","family":"Lew","sequence":"additional","affiliation":[{"name":"Department of Pediatrics University of Florida College of Medicine and Shands Children`s Hospital Gainesville FL 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