Angiomatosis bacilar por Bartonella quintana como primera manifestación de infección por VIH: Report of one case

• Pablo Uribe ^[1] ; M. Elvira Balcells ^[1] ; Laura Giesen ^[2] ; Consuelo Cárdenas ^[1] ; Patricia García ^[1] ; Sergio González ^[1]
  1. [1] Pontificia Universidad Católica de Chile

     Pontificia Universidad Católica de Chile

     Santiago, Chile

     
  2. [2] Universidad de Los Andes

     Universidad de Los Andes

     Colombia

     
• Localización: Revista Médica de Chile, ISSN-e 0034-9887, Vol. 140, Nº. 7, 2012, págs. 910-914
• Idioma: español
• Títulos paralelos:
  • Bacillary angiomatosis
• Enlaces
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• Resumen

  • Background: 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-year-old HIV positive male presenting with a history of six months of cutaneous growing purple angiomatous lesions, located also in nasal fossae, rhi-nopharynx 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.