{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,18]],"date-time":"2025-10-18T21:01:09Z","timestamp":1760821269286,"version":"3.41.2"},"reference-count":20,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2021,9,30]],"date-time":"2021-09-30T00:00:00Z","timestamp":1632960000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Pediatric Transplantation"],"published-print":{"date-parts":[[2022,2]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Kidney transplant patients are susceptible to a variety of infections in the post\u2010transplant period due to the use of immunosuppressant medications. Ehrlichiosis is a rare infection in solid organ transplant recipients with signs and symptoms that mimic rejection and other viral infections. Hemophagocytic lymphohistiocytosis (HLH) is a potentially fatal hyperinflammatory syndrome that can be triggered by infections.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>We describe a pediatric kidney transplant recipient who experienced secondary HLH due to ehrlichiosis within the initial post\u2010transplant month.<\/jats:p><\/jats:sec><jats:sec><jats:title>Result<\/jats:title><jats:p>Our patient improved after treatment with doxycycline, corticosteroids, and intravenous immunoglobulin (IVIG).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Clinicians should consider infections such as ehrlichiosis as a potential cause of illness in febrile solid organ transplant recipients in immediate post\u2010transplant period, especially when accompanied by a compatible exposure history.<\/jats:p><\/jats:sec>","DOI":"10.1111\/petr.14134","type":"journal-article","created":{"date-parts":[[2021,10,1]],"date-time":"2021-10-01T09:03:58Z","timestamp":1633079038000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":7,"title":["<i>Ehrlichia<\/i>\u2010induced hemophagocytic lymphohistiocytosis in a pediatric kidney transplant recipient"],"prefix":"10.1111","volume":"26","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0559-9182","authenticated-orcid":false,"given":"Nisha S.","family":"Singh","sequence":"first","affiliation":[{"name":"Division of Pediatric Nephrology Children's Mercy Kansas City Kansas City School of Medicine University of Missouri Kansas City Missouri USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alexa L.","family":"Pagano","sequence":"additional","affiliation":[{"name":"Department of Pediatrics Children\u2019s Mercy Kansas City Kansas City Kansas 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