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
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
Extractions: 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.
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
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
Extractions: 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.
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
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
Extractions: 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. 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.
Extractions: Abstract References (33) View full size inline images Transplantation Volume 67(2) 27 January 1999 pp 296-298 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.
Extractions: 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.
Extractions: 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
Extractions: 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.
Extractions: 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.
Extractions: 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.
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
Extractions: 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. 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
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
Extractions: 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 friends 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.
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
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