REPLY
Rochalimaea Infections
Roy T. Steigbigel and
David C. Tompkins
15 September 1993 | Volume 119 Issue 6 | Pages 535-536
IN RESPONSE:
We agree that the papers we cited in our editorial [1] reported the isolation of Rochalimaea species from apparently immunocompetent patients who had fever and bacteremia but not the cutaneous lesions described as bacillary angiomatosis. Drs. Tappero and Koehler and their coworkers have made the important observation that these vascular lesions can also occur in immunocompetent patients [2]. Future study is needed to describe more fully the spectrum of diseases caused by these organisms and the reasons for the varying manifestations in different persons.
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 T-H, Busch MP, et al. Bacillary angiomatosis and bacillary splenitis in immunocompetent adults. Ann Intern Med. 1993; 118:363-5.
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