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15 September 1993 | Volume 119 Issue 6 | Pages 535-536
We read with interest the concise editorial by Drs. Tompkins and Steigbigel [1] accompanying our article [2] describing the only immunocompetent patients reported in the literature with angiomatosis in the absence of human immunodeficiency virus infection or drug-induced immune suppression. Stating that bacillary angiomatosis in immunocompetent adults had been previously reported, the authors incorrectly cited three articles describing patients who had fever and bacteremia caused by Rochalimaea species but did not have the vascular lesions of either bacillary angiomatosis or parenchymal bacillary peliosis [3-5]. The error is frequently made and could lead to further confusion. The distinction is important to clinicians because it assists in defining the spectrum of disease for Rochalimaea infections, which includes fever and bacteremia, endocarditis, and cat scratch disease as well as bacillary angiomatosis. In addition, it is important to epidemiologists and molecular biologists attempting to determine why only a subset of Rochalimaea infections is associated with vascular proliferative lesions.
1. Tompkins DC, Steigbigel RT.Rochalimaea's role in cat scratch disease and bacillary angiomatosis. Ann Intern Med. 1993; 118:388-90.
2. Tappero JW, Koehler JE, Berger TG, Cockerell CJ, Lee TH, Busch MP, et al. Bacillary angiomatosis and bacillary splenitis in immunocompetent adults. Ann Intern Med. 1993; 118:363-5.
3. Slater LN, Welch DF, Hensel D, Coody DW. A newly recognized fastidious gram-negative pathogen as a cause of fever and bacteremia. N Engl J Med. 1990; 323:1587-93.
4. Welch DF, Pickett DA, Slater LN, Steigerwalt AG, Brenner DJ.Rochalimaea henselae, sp. nov., a cause of septicemia, bacillary angiomatosis, and parenchymal bacillary peliosis. J Clin Microbiol. 1992; 30:275-80.
5. Lucey D, Dolan MJ, Moss CW, Garcia M, Hollis DG, Wegner S, et al. Relapsing illness due to Rochalimaea henselae in immunocompetent hosts: implications for therapy and new epidemiological associations. Clin Infect Dis. 1992; 14:683-8. About Letters
The Editors welcome submissions for possible publication in the Letters section. Authors of letters should:
LETTER
Rochalimaea Infections
TO THE EDITOR:
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