artículo
Angiomatosis bacilar por Bartonella quintana como primera manifestación de infección por VIH
Fecha
2012Registro en:
10.4067/S0034-98872012000700013
0717-6163
0034-9887
MEDLINE:23282705
S0034-98872012000700013
SCOPUS_ID:84868317466
WOS:000308280100013
Autor
Uribe González, Pablo Francisco
Balcells Marty, María Elvira
Giesen Flaskamp, Laura
Cardenas De La Torre, Consuelo Paz
Garcia Muñoz, Patricia Alejandra
González Bombardiere, Sergio
Institución
Resumen
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, 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. (Rev Med Chile 2012; 140: 910-914).