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

Bacillary angiomatosis on a region of burned skin in a immunocompetent patient

“…Although isolation of the causative bacilli in cultures from biopsied tissues has been reported, this is not a routine procedure for the diagnosis 3 . In many reports, 5–10 the diagnosis has been based on the demonstration of the bacilli in histological sections stained with silver dyes, such as by the Warthin–Starry method, as in our case. There are case reports 5,8 , 9 in which the bacilli were demonstrated by electron microscopy.…”

A case of bacillary angiomatosis presenting as leg ulcers

“…Because the clinical and histopathological findings of our case are consistent with BA and no pathological findings were observed in the investigations in regard to other aetiological factors of leg ulcers. In many reports, 4–10 the diagnosis has been based on the demonstration of the bacilli in histological sections stained with silver dyes, such as the Warthin–Starry method, as in our case. However, culture from the biopsied tissues, electron microscopy examination, polymerase chain reaction and serology are other procedures that can be used in the diagnosis 2,4,7,8, 11 .…”

“…BA is usually seen in cases with HIV‐induced immunodeficiency 1–3,6,9 . However, it has also been observed in patients who had chronic lymphocytic leukaemia 8 or were using corticosteroids 5 or cytostatics 7 .…”

Bacillary Angiomatosis in an Immunocompetent Child with a Grafted Traumatic Wound

“…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.…”

“…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).…”