Bartonella quintana Infection in Kidney Transplant Recipients from Donor Experiencing Homelessness, United States, 2022
Amy M. Beeson, Shannan N. Rich, Michael E. Russo, Julu Bhatnagar, Rebecca N. Kumar, Jana M. Ritter, Pallavi Annambhotla, Moe R. Takeda, Kira F. Kuhn, Prishanya Pillai, Marlene DeLeon-Carnes, Rebecca Scobell, Maheswari Ekambaram, Rachel Finkel, Sarah Reagan-Steiner, Roosecelis B. Martines, Rohit S. Satoskar, Gayle M. Vranic, Raji Mohammed, Gloria E. Rivera, Kumarasen Cooper, Heba Abdelal, Marc Roger Couturier, Benjamin T. Bradley, Alison F. Hinckley, Jane E. Koehler, Paul S. Mead, Matthew J. Kuehnert, Joel Ackelsberg, Sridhar V. Basavaraju, and Grace E. Marx
Author affiliation: Centers for Disease Control and Prevention, Fort Collins, Colorado, USA (A.M. Beeson, S.N. Rich, A.F. Hinckley, P.S. Mead, G.E. Marx); The Children's Hospital of Philadelphia, Philadelphia, Pennsylvania, USA (M.E. Russo, M.R. Takeda, K.F. Kuhn, R. Scobell, M. Ekambaram, R. Finkel, H. Abdelal); Perelman School of Medicine at University of Pennsylvania, Philadelphia (M.E. Russo, M.R. Takeda, K. Cooper); Centers for Disease Control and Prevention, Atlanta, Georgia, USA (J. Bhatnagar, J.M. Ritter, P. Annambhotla, M. DeLeon-Carnes, R.S. Satoskar, M.J. Kuehnert, S.V. Basavaraju); MedStar Georgetown University Hospital, Washington, DC, USA (R.N. Kumar, P. Pillai, S. Reagan-Steiner, R.B. Martines, G.M. Vranic); Duke University Medical Center, Durham, NC, USA (G.M. Vranic); Lincoln Medical Center, New York, NY, USA (R. Mohammed); New York City Department of Health and Mental Hygiene, New York (G.E. Rivera, M.J. Kuehnert, J. Ackelsberg); University Hospitals Cleveland Medical Center, Cleveland, Ohio, USA (H. Abdelal); ARUP Laboratories, Salt Lake City, Utah, USA (M.R. Couturier, B.T. Bradley); University of Utah, Salt Lake City (M.R. Couturier, B.T. Bradley); University of California, San Francisco, California, USA (J.E. Koehler).
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Figure 2
Figure 2. Liver biopsy of a kidney transplant recipient with a Bartonella quintana infection linked to a donor who experienced homelessness, United States, 2022. A) Fibrovascular proliferation accompanied by few inflammatory cells. Magnification ×200. B) Myxoid stroma that contains clumps of granular material (arrows). Magnification ×400. C) Warthin-Starry stain highlights clumps of bacilli (arrows). Magnification ×400.
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