61. Dorlands Medical Dictionary bacillary angiomatosis, a condition seen in immunocompromised patients, causedby Bartonella henselae and B. quintana; characteristics range from raised http://www.merckmedicus.com/pp/us/hcp/thcp_dorlands_content.jsp?pg=/ppdocs/us/co

62. First World War Disease Has Come Back To Threaten Homeless AIDS Patients In immunecompromised individuals, bacillary angiomatosis can lead to serious The name bacillary angiomatosis refers to the unexplained ability of the http://www.docguide.com/dg.nsf/PrintPrint/9B22B37AA84E5B248525657C0051BD75

To print: Select File and then Print from your browser's menu Title: First World War Disease Has Come Back To Threaten Homeless AIDS Patients URL: http://www.pslgroup.com/dg/4F696.htm Doctor's Guide December 29, 1997 SAN FRANCISCO, CA December 29, 1997 A bacterial infection that afflicted tens of thousands of soldiers in the trenches during the first World War is making a comeback of sorts, threatening the lives of homeless AIDS patients. The discovery was made by a research team led by Jane Koehler, MD, a microbiologist and an assistant professor of medicine at the University of California-San Francisco, who set out to identify the microbes responsible for a chronic, relapsing infection called bacillary angiomatosis. Although it is curable with common antibiotics, the illness, in addition to making its victims sick and feverish, often goes undiagnosed, Koehler said. In AIDS patients, who have weakened immune systems, infection with the disease-causing microbes causes skin lesions that are easily mistaken for Kaposi's sarcoma, another disease that often strikes people with AIDS. In immune-compromised individuals, bacillary angiomatosis can lead to serious complications, including anemia, weight loss, the growth of non-malignant tumours that can hinder breathing or other vital functions, damage to the valves that guide blood flow through the heart and death.

63. Bacillary Angiomatosis Or Kaposi's Sarcoma? bacillary angiomatosis and Kaposi s sarcoma can be especially difficult to In each pair of figures, one shows a bacillary angiomatosis lesion (Panels A http://itsa.ucsf.edu/~koehler/pdfs/NEJM_tappero_koehler.html

Bacillary Angiomatosis or Kaposi's Sarcoma? Figure 1. Jordan W. Tappero, M.D., M.P.H. Centers for Disease Control and Prevention Atlanta, GA 30333 Jane E. Koehler, M.D. University of California, San Francisco San Francisco, CA 94143-0654 This article has been cited by other articles: Tompkins, L. S. (1997). Of Cats, Humans, and Bartonella. N Engl J Med [Full Text] The New England Journal of Medicine is owned, published, and Massachusetts Medical Society

64. BARTONELLA CULTURE SYNONYMS Bartonella henselae, cat scratch disease, bacillary angiomatosis;TEST INCLUDES Blood culture; LABORATORY Microbiology http://www.healthsystem.virginia.edu/internet/labtests/clinical/b/blcroc.cfm

[ Skip Navigation ] Health System Home For Health Answers Healthcare Professionals ... Advanced Search Health System Search Search for Information People UVa Home Health System News Health System Events (all) Health System Publications ... Site Index Site Search Search this site: BARTONELLA CULTURE TEST CODE: BLCROC CPT CODE: SYNONYMS: Bartonella henselae, cat scratch disease, bacillary angiomatosis TEST INCLUDES: Blood culture LABORATORY: Microbiology SPECIMEN: Blood submitted in an Isolator tube (obtain in Core Laboratory). MINIMUM VOLUME: 5 mL AVAILABILITY: 24 hours per day TURNAROUND TIME: 15 days SPECIAL INSTRUCTIONS: Indicate that this is a special request for Bartonella on the test request. REFERENCE RANGE: Negative Print this Page Email this Page UVa Medical Laboratories Handbook PO Box 800168 Charlottesville , VA 22908 fax: 434-982-1880 For comments and suggestions about this page: Webmaster Last Modified: April 23 2003 of the University of Virginia About This Site

65. Bartonellosis : Cat Scratch Disease B. henselae is responsible for bacillary angiomatosis, peliosis of the liver orthe spleen, Synonyms bacillary angiomatosis (BA); Bartonella henselae; http://www.petalk.com/bartonella.html

Prevalence of Bartonella species in domestic cats in The Netherlands. Bergmans-AM; de-Jong-CM; van-Amerongen-G; Schot-CS; Schouls-LM J-Clin-Microbiol. 1997 Sep; 35(9): 2256-61 Coinfection with Bartonella clarridgeiae and Bartonella henselae and with different Bartonella henselae strains in domestic cats. Gurfield-AN; Boulouis-HJ; Chomel-BB; Heller-R; Kasten-RW; Yamamoto-K; Piemont-Y J-Clin-Microbiol. 1997 Aug; 35(8): 2120-3 Detection in Humans: APPENDIX IV - CAT SCRATCH DISEASE The diagnosis of bartonella infection should be confirmed by culturing the organism or amplifying DNA from tissues, such as lymph node or spleen, using PCR. B. henselae are intraerythrocytic bacteria, therefore cell lysis, using a lysis centrifugation technique, greatly facilitates bacterial isolation from blood. Bacteria in the genus Bartonella are very fastidious, requiring up to 60 days to identify bacterial colonies. Seroconversion, using IFA or ELISA, can be used to confirm a diagnosis in people with acute disease. Because of disparate results among studies and an overall lack of microbiologic data in clinical therapeutic trials, numerous issues related to treatment of human bartonella infection remains controversial. In contrast to the apparent lack of response to antimicrobial treatment in human CSD patients, bacillary angiomatosis, parenchymal bacillary peliosis, and acute bartonella bacteremia appear to respond to antimicrobial treatment, particularly in immunocompromised individuals. Doxycycline, erythromycin, and rifampin are recommended antibiotics, but clinical improvement has been reported following the use of penicillin, gentamicin, ceftriaxone, ciprofloxacin, and azithromycin.

66. The American Journal Of Dermatopathology - UserLogin bacillary angiomatosis (BA) is a pathologic process characterized by bacillary angiomatosis and bacillary peliosis in patients infected with human http://www.amjdermatopathology.com/pt/re/ajderm/fulltext.00000372-199612000-0000

LWWOnline LOGIN eALERTS REGISTER ... Archive You are attempting to access protected content. To access this content please login using an established account or create/activate an account. If you have already created/ activated an online account, please login below: User Name: Password: Note: passwords are CASE SENSITIVE If you are a new user or guest visiting an LWWonline site for the first time, please complete the new account setup process to view or purchase content. Forgot your password? Subscribe Renewal Information Subscribe to RSS feed utrdc-pt02 Release 4.0

67. The American Journal Of Dermatopathology - UserLogin bacillary angiomatosis BY Bartonella quintana IN A HIVINFECTED PATIENT bacillary angiomatosis and bacillary peliosis are new oportunistic infections http://www.amjdermatopathology.com/pt/re/ajderm/fulltext.00000372-199812000-0003

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68. Bone Bacillary Angiomatosis In An HIV-infected Patient -- Olive Et Al. 35 (9): 9 bacillary angiomatosis (BA) is a recently discovered multisystem bacterialinfectious disease seen in the setting of immune suppression due to the human http://rheumatology.oxfordjournals.org/cgi/content/abstract/35/9/901

JOURNAL HOME HELP FEEDBACK SUBSCRIPTIONS ... TABLE OF CONTENTS QUICK SEARCH: [advanced] Author: Keyword(s): Year: Vol: Page: This Article Alert me when this article is cited Alert me if a correction is posted Services Email this article to a friend Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal ... Request Permissions PubMed PubMed Citation Articles by Olive, A. Articles by Perez, R. ORIGINAL PAPERS Bone bacillary angiomatosis in an HIV-infected patient A Olive, X Tena, A Raventos, J Romeu, JC Lorenzo, I Ojanguren and R Perez Rheumatology Section, Hospital Universitari Germans Trias i Pujol, Badalona, Barcelona, Spain. Bacillary angiomatosis (BA) is a recently discovered multisystem bacterial infectious disease seen in the setting of immune suppression due to the human immunodeficiency virus (HIV). A case of an HIV- infected patient with osteolytic bone involvement is reported. JOURNAL HOME HELP FEEDBACK SUBSCRIPTIONS ... TABLE OF CONTENTS

69. Transplantation - Fulltext: Volume 67(2) January 27, 1999 P 296-298 BACILLARY AN bacillary angiomatosis IN A RENAL TRANSPLANT RECIPIENT A case of bacillaryangiomatosis infection presenting as a skin nodule in a renal transplant http://www.transplantjournal.com/pt/re/transplantation/fulltext.00007890-1999012

LWWOnline LOGIN eALERTS REGISTER ... Archive BACILLARY ANGIOMATOSIS IN A RENAL... ARTICLE LINKS: Abstract References (33) View full size inline images Transplantation Volume 67(2) 27 January 1999 pp 296-298 BACILLARY ANGIOMATOSIS IN A RENAL TRANSPLANT RECIPIENT Cline, Michelle S. ; Cummings, Oscar W. ; Goldman, Mitchell ; Filo, Ronald S. ; Pescovitz, Mark D. Graduate Medical Education, Wayne State University/Detroit Receiving Hospital and University Health Center, Detroit, Michigan, and Departments of Pathology, Medicine, Surgery, and Microbiology and Immunology, Indiana University Hospital, Indianapolis, Indiana Graduate Medical Education, Wayne State University/Detroit Receiving Hospital and University Health Center. Department of Pathology, Indiana University Hospital. Department of Medicine, Division of Infectious Diseases, Indiana University Hospital. Department of Surgery, Indiana University Hospital. Department of Microbiology and Immunology, Indiana University Hospital. Address correspondence to: Mark D. Pescovitz, M.D., Indiana University Medical Center, UH4258, 550 North University Boulevard, Indianapolis, IN 46202. Received 25 May 1998.

70. Transplantation - Abstract: Volume 67(2) January 27, 1999 P 296-298 BACILLARY AN bacillary angiomatosis IN A RENAL TRANSPLANT RECIPIENT. A case of bacillaryangiomatosis infection presenting as a skin nodule in a renal transplant http://www.transplantjournal.com/pt/re/transplantation/abstract.00007890-1999012

LWWOnline LOGIN eALERTS REGISTER ... Archive BACILLARY ANGIOMATOSIS IN A RENAL... ARTICLE LINKS: Fulltext BACILLARY ANGIOMATOSIS IN A RENAL TRANSPLANT RECIPIENT. Transplantation. Experimental Modalities to Limit Monocyte Interactions with Xenogenic Vasculature. 67(2):296-298, January 27, 1999. Cline, Michelle S. 1; Cummings, Oscar W. 2; Goldman, Mitchell 3; Filo, Ronald S. 4; Pescovitz, Mark D. 4,5,6 Abstract: A case of bacillary angiomatosis infection presenting as a skin nodule in a renal transplant recipient was found. The patient was taking cyclosporine, prednisone, and mycophenolate mofetil at the time of presentation. The bacillary angiomatosis responded to 6 months of therapy with oral erythromycin. Subscribe to RSS feed utrdc-pt02 Release 4.0

71. Dermatologic Manifestations Of HIV Infection - New Treatments, January 22, 2005 bacillary angiomatosis is an infection caused by two species of Bartonella B.henselae One of the agents causing bacillary angiomatosis, B. henselae, http://www.ccspublishing.com/journals2a/derm.htm

Click here to view next page of this article Dermatologic Manifestations of HIV Infection Infectious cutaneous conditions Staphylococcus aureus infections Staphylococcus aureus is the most common bacterial skin infection in persons with HIV disease. Bullous impetigo . Bullous impetigo is most common in hot, humid weather, presenting as very superficial blisters or erosions, most commonly seen. Ecthyma is an eroded or superficially ulcerated lesion with an adherent crust. Purulent material is present under this crust. Folliculitis Folliculitis due to S. aureus occurs most commonly in the hairy areas of the trunk, groin, axilla, or face. Often the follicular lesions of the trunk are intensely pruritic and may be mistaken for scabies. About 50% of HIV-infected persons with scabies have coexistent S. aureus folliculitis. Treatment of cutaneous staphylococcal lesions Very superficial lesions, like bullous impetigo, often respond to an antistaphylococcal antibiotic, such as dicloxacillin (500 mg given PO qid) or 7-10 days. Combinations of antibiotics. Washing the infected area once daily or every other day with an antibacterial agent (Hibiclens, Betadine) helps

72. Consultant : Bacillary Angiomatosis. @ HighBeam Research Consultant bacillary angiomatosis. @ HighBeam Research. http://static.highbeam.com/c/consultant/february012000/bacillaryangiomatosis/

Library Web Executives New! ... Customer Support Question / Keyword(s): Advanced Search Current Article: Bacillary Angiomatosis. Start C Consultant February 01, 2000 ... Bacillary Angiomatosis. Bacillary Angiomatosis. Consultant; February 01, 2000; RANA-MUKKAVILLI, GOPI RANA-MUKKAVILLI, GOPI Consultant February 01, 2000 A 20-year-old student who had HIV disease was bothered by mildly tender lesions on his soles. The lesions had been present for several months but, during the last few weeks, more eruptions developed and the pain worsened. The patient denied previous opportunistic infections. His CD4+ count was 150 cells/[micro]L. No fever, shortness of breath, pruritus, or headache was noted. Significant physical findings were cachexia and the irregularly bordered, necrotic cutaneous lesions on the plantar surface of the left foot (A). Biopsy material from the lesions showed necrotic eschars with numerous fusiform-appearing cells. This finding confirmed the diagnosis of bacillary angiomatosis. Erythromycin was prescribed, and cryotherapy was initiated because of the extensive necrosis of the soles. The lesions healed slowly over several months. Bacillary angiomatosis is seen most commonly in adults who are seropositive for HIV. The characteristic vascular

73. Consultant : What's Your Diagnosis? (cutaneous Bacillary Angiomatosis) @ HighBea Consultant What s your diagnosis? (cutaneous bacillary angiomatosis) @ HighBeamResearch. http://static.highbeam.com/c/consultant/july011993/whatsyourdiagnosiscutaneousba

Library Web Executives New! ... Customer Support Question / Keyword(s): Advanced Search Current Article: What's your diagnosis? (cutaneous bacillary angiomatosis) Start C Consultant July 01, 1993 ... What's your diagnosis? (cutaneous bacillary angiomatosis) What's your diagnosis? (cutaneous bacillary angiomatosis) Consultant; July 01, 1993; Rothe, Marti Jill Hoss, Diane M. Grant-Kels, Jane M. Rothe, Marti Jill Hoss, Diane M. Grant-Kels, Jane M. Consultant July 01, 1993 HISTORY A 35-year-old woman with 5-week history of eruptive facial lesions. Former intravenous drug abuser, HIV-positive since 1987. Had not received medical care for HIV infection and denied any prior manifestations of immunodeficiency. Previous biopsy of facial lesion reported as consistent with pyogenic granuloma. Three-week course of dicloxacillin not beneficial. PHYSICAL EXAMINATION Multiple pink papules and serveral dome-shaped, ulcerated nodules affecting central face (as shown). At periphery of several papules, associated erythema and telangiectasias. Significant malodor. Mucosal surfaces univolved. WHAT'S YOUR DIAGNOSIS?

74. ACTA Jul1996: Fine Needle Aspiration Diagnosis Of Intramuscular Bacillary Angiom Background bacillary angiomatosis (BA) is a localized infectious process thataffects primarily patients with the acquired immunodeficiency syndrome. http://www.acta-cytol.com/abs/ACTA107.htm

Title: Fine Needle Aspiration Diagnosis of Intramuscular Bacillary Angiomatosis A Case Report Authors: Miguel A. Sanchez, M.D., and Edwarda Rorat, M.D. Background : Bacillary angiomatosis (BA) is a localized infectious process that affects primarily patients with the acquired immunodeficiency syndrome. The microorganisms implicated in the pathogenesis of this disease belong to the Rickettsiaceae family. Case: A 43-year-old, human immunodeficiency syndrome-positive male presented with diffuse swelling in the right deltoid area. A neoplastic process was considered in the differential diagnosis. Fine needle aspiration biopsy showed proliferation of blood vessels lined with plump endothelial cells, and the interstitial space was occupied by neutrophilic infiltrate, leukocytoclastic debris and clumps of characteristic amphophilic, granular material. Warthin-Starry stain demonstrated clusters of bacilli diagnostic of bacillary angiomatosis. Conclusion: The diagnosis of this entity, made by fine needle aspiration cytology (as the only diagnostic procedure), was instrumental in preventing further surgical manipulation and in initiating appropriate and immediate antibiotic therapy. (Acta Cytol 1996;40: 751-755) Keywords: angiomatosis, bacillary; aspiration biopsy

75. The Johns Hopkins Microbiology Newsletter bacillary angiomatosis is a reactive vascular proliferation caused by bacilli Clinical Features bacillary angiomatosis has now been reported to affect http://pathology5.pathology.jhmi.edu/micro/v16n36.htm

DEPARTMENT OF PATHOLOGY The Johns Hopkins Medical Institutions Vol. 16, No. 36 THE JOHNS HOPKINS MICROBIOLOGY NEWSLETTER Monday, September 22, 1997 A. Provided by Carmela Groves, R.N., M.S., Chief, Division of Outbreak Investigation, Maryland Department of Health and Mental Hygiene 11 outbreaks were reported between August 29 and September 22, 1997. 5 outbreaks of foodborne gastroenteritis associated with food service facilities 2 outbreaks of upper respiratory illness associated with long term care facilities 1 outbreak of scabies 1 outbreak of group A streptococcal infection 2 outbreaks of gastroenteritis associated with long term care facilities B. The Johns Hopkins Hospital: Information provided by David Taylor, M.D., Pathology Clinical Information Bacillary Angiomatosis Bacillary Angiomatosis is a reactive vascular proliferation caused by bacilli of the genus Bartonella (formerly Rochalimaea ), specifically B. henselae and B. quintana Bartonella spp. are small gram-negative rods that are often slightly curved. BA was initially described in the skin, but can occur in a variety of organs or as septicemia. First reports were in patients infected with HIV; infections were subsequently identified in other immunocompromised hosts and later in some apparently immunocompetent patients as well. Epidemiology : The geographic distribution of BA largely parallels that of HIV infection. BA is at least in part a zoonosis because one of its agents

76. Vol Introduction bacillary angiomatosis (BA) was first described in 1983 in a patientwith HIV. bacillary angiomatosis can be diagnosed serologically, http://pathology5.pathology.jhmi.edu/micro/v20n45.htm

DEPARTMENT OF PATHOLOGY The Johns Hopkins Medical Institutions Vol. 20, No. 45 THE JOHNS HOPKINS MICROBIOLOGY NEWSLETTER Tuesday, November 6, 2001 A. Provided by Leslie Edwards Reger, Division of Outbreak Investigation, Maryland Department of Health and Mental Hygiene. No information available. B. The Johns Hopkins Hospital, Department of Pathology. Information provided by Rob Law, M.D. Case Description A 26 year old HIV infected male with a CD4 count of 4 cells/mm presented to his PMD with a three month history of malaise, fever, abdominal cramping, and fatigue. He had been recently discharged from an outside hospital with a diagnosis of fever of unknown origin and a hematocrit of 29%. Initial workup revealed a hematocrit of 22%. The patient owns a cat, and reports playing with a friend’s kitten several months ago. Bacterial, AFB, and fungal cultures were all negative. An abdominal CT revealed hepatomegaly with punctate echogenic foci in the liver and spleen, raising the possibility of peliosis hepatis. Empiric therapy was begun. Serologies for Bartonella henselae were positive at 1:256, and a liver biopsy revealed dilated vascular spaces and focal lymphoplasmacytic inflammation. Special stains for organisms were negative.

77. Pets Health bacillary angiomatosis, also called epithelioid angiomatosis, is a vascular Prior to the AIDS epidemic, bacillary angiomatosis had been reported in http://www.cah.com/dr_library/bartonel.html

SEARCH THIS SITE: Home Online Resources The Library Cat Scratch Disease and Bartonelosis TOPIC: Please select one... 9/11 Pets Loving Devotion A 9/11 Story Acupuncture and Tellington Ttouch Acupuncture in The Treatment For Animals Acupuncture-Uses and Benefits Addison's Disease (Hypoadrenocorticism) Addison's Disease-Newer Treatment Options Aging and Your Pet Age Analogy For Your Pet Aggression At The Vets Office Aggressive Behavior In Multi-Cat Households Aggression At The Vets Office ALLERGIES Anal Sac Disease ANEMIA- AUTOIMMUNE HEMOLYTIC Anesthesia and Your Pet Antifreeze Poisoning Arthritis Treatments For Cats and Dogs Asthma-Bronchitis in Cats Babesiosis in Dogs Babies and Pets-Introduction of Bacterial Skin Infections Behavior Guides for Cats Behavior Guides for Dogs Behavior Drug Therapy Birds Feeding Guide for Pet Birds Birds- Care of Bladder Stones (uroliths) Cardiac Diseases of Cats and Dogs Cat Breeds Cat Litter Cat Scratch Fever-Bartonellosis Cataracts and Your Pet Cerebellar Hypoplasia Cheytiella Dermatitis in Pets Chocolate Poisoning in Dogs Chronic Wasting Disease Clostridial Enteritis and Diarrhea in Your Pet Constipation and Your Cat Cruciate Ligament Damage and Repair Cushings Disease-Hyperadrenocorticism Cushings-Treatment of Dental Care and Your Cat Dental Tooth Abscess Diarrhea Dietary Management Demodex Mange in Dogs and Cats Dental Care Dental Care and Your Cat Dental Care Special Promotion for Your Pet Dermatomyositis Diabetes in Cats Diabetes in Dogs Digestive Disturbances in Cats Digestive Disturbances in Dogs

78. Publication Details - David A. Relman - Stanford University School Of Medicine The agent of bacillary angiomatosis. An approach to the identification of bacillary angiomatosis is an infectious disease causing proliferation of small http://med.stanford.edu/profiles/frdActionServlet?choiceId=showPublication&pubid

79. Publication Details - Sharon Geaghan - Stanford University School Of Medicine Cutaneous bacillary angiomatosis is a bacterial infection that occurs in patientswith human immunodeficiency virus (HIV) infection; its histologic http://med.stanford.edu/profiles/frdActionServlet?choiceId=showPublication&pubid

80. DermIS / Hauptmenü / DOIA / Bazilläre Angiomatose / Info Angiomatosis, Epithelioid, Bacillary Angiomatoses, bacillary angiomatosis,Bacillary Epithelioid Angiomatoses, Bacillary Epithelioid Angiomatosis, http://dermis.multimedica.de/doia/diagnose.asp?zugr=d&lang=d&diagnr=9810&topic=i

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