Emerging infectious diseases · 2024
Bartonella quintana Infection in Kidney Transplant Recipients from Donor Experiencing Homelessness, United States, 2022.
Клинический случайСтатьяНазвание и аннотация: Перевод в очереди
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Beeson Amy M, Rich Shannan N, Russo Michael E, Bhatnagar Julu, Kumar Rebecca N, Ritter Jana M, Annambhotla Pallavi, Takeda Moe R, Kuhn Kira F, Pillai Prishanya, DeLeon-Carnes Marlene, Scobell Rebecca, Ekambaram Maheswari, Finkel Rachel, Reagan-Steiner Sarah, Martines Roosecelis B, Satoskar Rohit S, Vranic Gayle M, Mohammed Raji, Rivera Gloria E, Cooper Kumarasen, Abdelal Heba, Couturier Marc Roger, Bradley Benjamin T, Hinckley Alison F, Koehler Jane E, Mead Paul S, Kuehnert Matthew J, Ackelsberg Joel, Basavaraju Sridhar V, Marx Grace E
Аннотация
Bartonella quintana infection can cause severe disease that includes clinical manifestations such as endocarditis, chronic bacteremia, and vasoproliferative lesions of the skin and viscera. B. quintana bacteria is transmitted by the human body louse (Pediculus humanus corporis) and is associated with homelessness and limited access to hygienic services. We report B. quintana infection in 2 kidney transplant recipients in the United States from an organ donor who was experiencing homelessness. One infection manifested atypically, and the other was minimally symptomatic; with rapid detection, both recipients received timely treatment and recovered. B. quintana was identified retrospectively in an archived donor hematoma specimen, confirming the transmission link. Information about the organ donor's housing status was critical to this investigation. Evaluation for B. quintana infection should be considered for solid organ transplant recipients who receive organs from donors with a history of homelessness or of body lice infestation.