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

Resumen

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.