Angiomatosis Bacilar por Bartonella quintana como primera manifestación de infección por VIH

Author
Uribe, Pablo; Departamentos de Dermatología, Facultad de Medicina, Pontificia Universidad Católica de Chile. Santiago de Chile.

Balcells, Elvira; Medicina Interna Facultad de Medicina, Pontificia Universidad Católica de Chile. Santiago de Chile.

Giesen, Laura; Alumna de la Facultad de Medicina de la Universidad de los Andes. Santiago de Chile.

Cárdenas, Consuelo; Departamentos de Dermatología, Facultad de Medicina, Pontificia Universidad Católica de Chile. Santiago de Chile.

García, Patricia; Laboratorio Clínico, Facultad de Medicina, Pontificia Universidad Católica de Chile. Santiago de Chile.

González, Sergio; Anatomía Patológica, Facultad de Medicina, Pontificia Universidad Católica de Chile. Santiago de Chile.

Full text
http://www.revistamedicadechile.cl/ojs/index.php/rmedica/article/view/1641
Abstract
BACILLARY ANGIOMATOSIS. REPORT OF ONE CASE Bacillary angiomatosis is an unusual infectious disease, with angioproliferative lesions, typical of immunocompromised patients. It is caused by Bartonella quintana and Bartonella henselae, two infectious agents of the genus Bartonella, which trigger variable clinical manifestations, including cutaneous vascular and purpuric lesions, and regional lymphadenopathy, and even a systemic disease with visceral involvement.  We report a 38 years old HIV positive male presenting with a history of six months of cutaneous growing purple  angiomatous lesions, located also in nasal fossae, rhinopharynx and larynx. The skin biopsy was compatible with bacillary angiomatosis. Polymerase chain reaction of a tissue sample showed homology with B. quintana strain Toulouse. The patient was treated with azithromycin and ciprofloxacin with a favorable evolution.    
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