Acquired immunodeficiency syndrome-related bacillary vascular proliferation (epithelioid angiomatosis): rapid response to erythromycin therapy

Rudikoff, D.

doi:10.1001/archderm.125.5.706b

Cited by 13 publications

(13 citation statements)

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“…A wide range of other antibiotics has been reported to successfully treat Bartonella-induced BA. Lesions resolved in two patients treated with ceftriaxone (68,131), and macrolide compounds have been reported to be effective in controlling primary B. henselae infections (49,57,65,107,118,123,131,165). Successful therapy of three patients with BA with norfloxacin and ciprofloxacin (68,131) has also been reported.…”

Section: Clinical Efficacy Of Antibioticsmentioning

confidence: 92%

Bartonella (Rochalimaea) quintana infections

1996

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Bartonella (formerly Rochalimaea) quintana is the etiological agent of trench fever, a disease extensively reported during the World Wars. Recent molecular biology approaches have allowed dramatic extension of the spectrum of Bartonella infections. B. quintana is now also recognized as an etiological agent of fever and bacteremia, endocarditis, bacillary angiomatosis, and chronic lymphadenopathy. Human immunodeficiency virus-infected patients and/or homeless people are the most vulnerable to infection. Poverty and louse infestation were the main epidemiological factors associated with B. quintana infections during wartime. Although poverty and chronic alcoholism have been associated with modern cases of trench fever and bacteremia due to B. quintana in Europe and the United States, vectors for B. quintana have not been clearly identified and B. quintana has not been isolated from modern-day lice. Microscopic bacillary angiomatosis lesions are characterized by tumor-like capillary lobules, with proliferating endothelial cells. In vitro experiments have shown that B. quintana survives within endothelial cells and stimulates cell proliferation. These observations, together with the finding that lesions may regress when antibiotic therapy is administered, strongly suggest that B. quintana itself stimulates angiogenesis. Bartonella infections are characterized by a high frequency of relapses after brief courses of antibiotic therapy. It is to be noted that in vitro, although Bartonella species are highly susceptible to antibiotics, only the aminoglycosides have proved to be bactericidal. However, the most effective antibiotic regimen for Bartonella infections remains to be established.

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Section: Clinical Efficacy Of Antibioticsmentioning

confidence: 92%

Bartonella (Rochalimaea) quintana infections

1996

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“…Bacillary angiomatosis is a rare infective disease generally seen in immunocompromised patients (1)(2)(3)(4)(5)(6)(7)(8)(9). There are only very few previously published cases of bacillary angiomatosis in immunocompetent individuals (5)(6)(7)(9)(10)(11)(12). In the present case, there was no previous history of immunological disease, recurrent infection or the use of immunosuppressive drugs, and HIV serology assessed by enzyme-linked immunosorbent assay was negative.…”

Section: Discussionmentioning

confidence: 99%

“…Isolation of the coccobacilli or demonstration of coccobacilli by using silver dyes is essential for a definitive diagnosis (5)(6)(7)(8)(9)(10)(11)(12). Although further microbiological investigations such as bacterial cultures, demonstration of bacterial DNA with PCR and serological tests for determination of IgM and IgG antibodies against bacteria of the bartonella genus also aid in establishing the diagnosis, these investigations can only be done in specialised laboratories (2,(8)(9)(10)(11)(19)(20)(21).…”

Section: Discussionmentioning

confidence: 99%

“…Bacillary angiomatosis (BA) is an infectious disease generally seen in immunocompromised individuals, such as human immunodeficiency virus (HIV) positive patients (1)(2)(3)(4)(5)(6), patients using corticosteroids (7), cytostatic drugs (8), or patients with chronic lymphocytic leukaemia (9). This infection has rarely been observed in people with normal immunity (5)(6)(7)(9)(10)(11)(12)(13). BA is caused by the gram negative cocobacilli Bartonella henselae or quintana (1).…”

Section: Introductionmentioning

confidence: 99%

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Bacillary Angiomatosis in an Immunocompetent Child with a Grafted Traumatic Wound

Turğut

Alabaz

Karakaş

et al. 2004

The Journal of Dermatology

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Bacillary angiomatosis is an infectious disease which usually develops in immunocompromised patients. Contact with cats is implicated in its pathogenesis. We report a seven-year-old immunocompetent boy with bacillary angiomatosis without a history of direct contact with cats. The clinical diagnosis of bacillary angiomatosis was made following histopathological examination of a biopsy sample from the infected facial wound, in the vicinity of which angiomatous lesions had developed. Surprisingly, similar lesions also appeared at the donor site of the skin graft which was grafted on the facial wound. This case demonstrates that bacillary angiomatosis may also be seen in immunocompetent patients and that it may contaminate wounds without the intermediary of cats.

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“…The most successful treatment is 4 doses of 250-500 mg erythromycin per day. Good results have also been observed with doxicycline (100 mg twice a day) [3,9] and ciprofloxin was successful on one patient. Rifampicine and isoniazid might be effective in clear resistance to sulphonamides, cephalosporine and penicillins [2,3,6,7,10].…”

Section: Discussionmentioning

confidence: 99%

Bacillary angiomatosis in an HIV‐positive patient. Good response to Dapsone

Fernández-Bussy

Alonso

Carlson

et al. 1995

Acad Dermatol Venereol

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Object Report the case of a 25 year old HIV patient who developed bacillary angiomatosis. Setting Department of Dermatology, Centenary Hospital, Rosario, Argentina. Objective The patient failed to respond to the standard treatment with erythromycin. Result The patient showed improved by the administration of Dapsone along with Zidovudine. Conclusion This case is reported both because it is a rarely seen disease as well as because a good therapeutic response is obtained.

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Acquired immunodeficiency syndrome-related bacillary vascular proliferation (epithelioid angiomatosis): rapid response to erythromycin therapy

Cited by 13 publications

References 0 publications

Bartonella (Rochalimaea) quintana infections

Bartonella (Rochalimaea) quintana infections

Bacillary Angiomatosis in an Immunocompetent Child with a Grafted Traumatic Wound

Bacillary angiomatosis in an HIV‐positive patient. Good response to Dapsone

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