Intracerebral Bacillary Angiomatosis in a Patient Infected with Human Immunodeficiency Virus
- David H. Spach, MD;
- Lori A. Panther, MD;
- David R. Thorning, MD;
- Jeffrey E. Dunn, MD;
- James J. Plorde, MD; and
- Richard A. Miller, MD
Excerpt
Bacillary angiomatosis is a recently described illness that results from infection with a novel, rickettsia-like, gram-negative bacillus (1, 2). This disorder occurs predominantly in patients infected with human immunodeficiency virus (HIV) and typically manifests as angiomatous cutaneous lesions (3, 4), although dissemination (5) and peliosis hepatis (6) can occur. According to our review of the literature and MEDLINE search, the spectrum of bacillary angiomatosis has not included intracranial mass lesions. We report a case of a patient with bacillary angiomatosis who had cutaneous and central nervous system involvement and describe the patient's response to erythromycin therapy.
Case Report A 49-year-old
This 100-word excerpt has been provided in the absence of an abstract.
Article and Author Information
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From the University of Washington Medical Center and the Seattle Department of Veterans Affairs Medical Center, Seattle, Washington. For current author addresses, see end of text.
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Requests for Reprints: Richard A. Miller, MD, Division of Infectious Diseases, Seattle Department of Veterans Affairs Medical Center, 1660 S. Columbian Way (111-I.D.), Seattle, WA 98108.
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Current Author Addresses: Dr. Spach: Division of Infectious Diseases, ZA-89, Harborview Medical Center, 325 9th Avenue, Seattle, WA 98104.
Dr. Panther: Division of Infectious Diseases, University of Washington Medical Center, 1959 NE Pacific, HSB T-293 P, Seattle, WA 98195. Dr. Thorning: Department of Pathology, Seattle Department of Veterans Affairs Medical Center, 1660 S. Columbian Way, Seattle, WA 98108.
Dr. Dunn: Division of Neurology, RG-27, University of Washington Medical Center, 1959 NE Pacific, Seattle, WA 98195. Dr. Plorde: Departments of Medicine and Laboratory Medicine, Seattle Department of Veterans Affairs Medical Center, 1660 S. Columbian Way, Seattle, WA 98108.
Dr. Miller: Division of Infectious Diseases, Seattle Department of Veterans Affairs Medical Center, 1660 S. Columbian Way (111-I.D.), Seattle, WA 98108.
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