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In contrast, immunocompromised patients commonly have systemic disease with life\u2010threatening complications. In addition to the angioproliferative lesions, such as bacillary angiomatosis, an increasing number of immune post\u2010infectious complications are being recognized with <jats:styled-content style=\"fixed-case\">BH<\/jats:styled-content> infections, including glomerulonephritis, vasculitis, hemophagocytic syndrome, and neurological problems. We report the case of a renal transplant recipient who developed <jats:styled-content style=\"fixed-case\">CSD<\/jats:styled-content> in the second year post transplantation. In addition to prolonged fever and generalized lymphadenopathy and splenomegaly requiring differentiation from a post\u2010transplant lymphoproliferative disorder, the course was complicated by the development of dermal leukocytoclastic vasculitis and pauci\u2010immune necrotizing and crescentic glomerulonephritis, which led to failure of the renal graft. Glomerulonephritis as a complication of <jats:styled-content style=\"fixed-case\">CSD<\/jats:styled-content> has never been described in a kidney allograft, to our knowledge. Awareness of the diverse clinical symptoms associated with <jats:styled-content style=\"fixed-case\">BH<\/jats:styled-content>, including granulomatous\/suppurative lesions and other less common complications can lead to more rapid and accurate diagnosis. Also, as recommended by the current guidelines, a thorough history of pet ownership should be part of the clinical evaluation before and after transplantation for all transplant recipients.<\/jats:p>","DOI":"10.1111\/tid.12376","type":"journal-article","created":{"date-parts":[[2015,3,5]],"date-time":"2015-03-05T14:43:38Z","timestamp":1425566618000},"page":"411-417","source":"Crossref","is-referenced-by-count":15,"title":["<i><scp>B<\/scp>artonella henselae<\/i> infection\u2010associated vasculitis and crescentic glomerulonephritis leading to renal allograft loss"],"prefix":"10.1111","volume":"17","author":[{"given":"A.R.","family":"Chaudhry","sequence":"first","affiliation":[{"name":"Department of General Surgery Sinai Hospital of Baltimore Baltimore Maryland USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M.R.","family":"Chaudhry","sequence":"additional","affiliation":[{"name":"Department of Pathology University of Maryland School of Medicine Baltimore Maryland USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J.C.","family":"Papadimitriou","sequence":"additional","affiliation":[{"name":"Department of Pathology University of Maryland School of Medicine Baltimore Maryland USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"C.B.","family":"Drachenberg","sequence":"additional","affiliation":[{"name":"Department of Pathology University of Maryland School of Medicine Baltimore Maryland USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2015,6]]},"reference":[{"issue":"8","key":"e_1_2_4_2_1","first-page":"375","article-title":"La maladie des griffes du chat [Cat scratch disease]","volume":"87","author":"Debre R","year":"1950","journal-title":"Marseille Med"},{"key":"e_1_2_4_3_1","doi-asserted-by":"publisher","DOI":"10.2105\/AJPH.83.12.1707"},{"issue":"7","key":"e_1_2_4_4_1","doi-asserted-by":"crossref","first-page":"531","DOI":"10.1001\/jama.1994.03510310061039","article-title":"Rochalimaea henselae infection. 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