{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,24]],"date-time":"2026-09-24T09:02:25Z","timestamp":1790240545785,"version":"4.1.0"},"reference-count":27,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2021,7,8]],"date-time":"2021-07-08T00:00:00Z","timestamp":1625702400000},"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":["Transplant Infectious Dis"],"published-print":{"date-parts":[[2021,8]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>Bacillary angiomatosis (BA) is an uncommon systemic disease caused by <jats:italic>Bartonella henselae<\/jats:italic> (BH) or <jats:italic>Bartonella quintana<\/jats:italic> (BQ) that occurs primarily in immunocompromised hosts. Few cases of BA recipients have been reported in adult solid transplant recipients over the years, with most cases presenting years after transplant. We describe a case of a kidney transplant recipient who developed cutaneous BA very early in the post\u2010transplant period despite not having any exposures. Retrospective testing of donor and recipient's serum was performed and raised the concern for possible donor\u2010derived infection. A literature review encompassing 1990 to present was also performed in order to better understand the clinical presentation, diagnostics and therapeutic approach of this unusual disease. Combined serology, histopathology and molecular testing (polymerase chain reaction [PCR]) were useful in diagnosing BA in our patient as serology alone might be unreliable. Macrolides or doxycycline for at least 3\u00a0months is the recommended therapeutic strategy; however, the optimal duration of treatment is not well established in transplant recipients. In our patient, we decided to use doxycycline for 1\u00a0year due to gradual resolution of lesions and ongoing immunosuppression. Patient responded successfully without any documented relapse.<\/jats:p>","DOI":"10.1111\/tid.13670","type":"journal-article","created":{"date-parts":[[2021,6,19]],"date-time":"2021-06-19T05:31:32Z","timestamp":1624080692000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":15,"title":["Early post\u2010transplant cutaneous bacillary angiomatosis in a kidney recipient: Case report and review of the literature"],"prefix":"10.1111","volume":"23","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5430-9482","authenticated-orcid":false,"given":"Jose A.","family":"Morillas","sequence":"first","affiliation":[{"name":"Department of Infectious Diseases Cleveland Clinic Cleveland OH USA"},{"name":"Transplantation Center Cleveland Clinic Cleveland OH USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mohamed","family":"Hassanein","sequence":"additional","affiliation":[{"name":"Department of Nephrology Cleveland Clinic Cleveland OH USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bushra","family":"Syed","sequence":"additional","affiliation":[{"name":"Department of Nephrology University of Mississippi Medical Center Jackson MS USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Aimen","family":"Liaqat","sequence":"additional","affiliation":[{"name":"Department of Nephrology Cleveland Clinic Cleveland OH USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wilma","family":"Bergfeld","sequence":"additional","affiliation":[{"name":"Department of Dermatology and Pathology Cleveland Clinic Cleveland OH USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Luis A.","family":"Sardi\u00f1a","sequence":"additional","affiliation":[{"name":"Department of Dermatology and Pathology Cleveland Clinic Cleveland OH USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Richard","family":"Fatica","sequence":"additional","affiliation":[{"name":"Department of Nephrology Cleveland Clinic Cleveland OH USA"},{"name":"Transplantation Center Cleveland Clinic Cleveland OH USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6040-4304","authenticated-orcid":false,"given":"Jessica","family":"Lum","sequence":"additional","affiliation":[{"name":"Department of Infectious Diseases Cleveland Clinic Cleveland OH USA"},{"name":"Transplantation Center Cleveland Clinic Cleveland OH 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