61. A MAN WITH RED NODULES ON THE FACE AND EXTREMITIES These findings were consistent with bacillary angiomatosis. COURSE ANDTHERAPY. What is your diagnosis? POSTER 3—bacillary angiomatosis. http://www.med.wayne.edu/dermatology/webmichderm01/poster3.htm

POSTER 3—A MAN WITH RED NODULES ON THE FACE AND EXTREMITIES Brett Dock MD, Meena Moossavi MD, George Murakawa MD PhD HISTORY A 37 year old HIV positive African-American man was admitted with a 3 month history of red lesions on his face and extremities. The patient complained of pain and pus draining from the lesion on his right knee. He denied contact with cats, was not homeless, and had no history of body lice. The lesions sometimes bled, but were otherwise asymptomatic. The patient was stable and afebrile. He had discontinued all medications 2 months prior to admission. He had no known drug allergies and no other medical history. EXAMINATION Examination revealed a 5 cm x 6 cm soft, purulent, tender, necrotic tumor on the right knee. There was a 1.2 cm umbilicated erythematous tumor on the left elbow and 4 cm violaceous tumors on the left knee and left ankle. The patient had right inguinal lymphadenopathy. LABORATORY Blood cultures: negative CD T-helper cell count: 20 HISTOPATHOLOGY Biopsies of the temple and elbow revealed a proliferation of blood vessels lined by epithelioid endothelial cells. There was a perivascular neutrophilic inflammatory infiltrate and amorphous eosinophilic material. Warthin-Starry stain revealed positively staining bacilli. These findings were consistent with bacillary angiomatosis. COURSE AND THERAPY The patient was treated with azithromycin 250 mg qd. Antiretroviral therapy and Bactrim prophylaxis were started. The lesions rapidly improved within one week after starting therapy.

62. Bazilläre Angiomatose Translate this page bacillary angiomatosis a newly characterized, pseudoneoplastic, infectious,cutaneous vascular disorder. J Am Acad Dermatol 1990, 22501-12. http://hiv.net/2010/buch/oi/angio.htm

Home Amedeo Wer ? Was ? ... zu HIV.NET 2003 von Christian Hoffmann 365-Tage-Literatur http://hiv.net/link.php?id=11 ). Sie kommt, wenngleich selten, auch hierzulande vor und ist bei allen unklaren Hauteffloreszenzen eine wichtige Differentialdiagnose. Die pseudoneoplastischen, vaskulären Haut-Proliferationen werden klinisch (und histologisch!) sehr oft mit Kaposi-Sarkomen oder auch Hämangiomen verwechselt. Verursacht wird die bazilläre Angiomatose durch die beiden Rickettsien-Spezies Bartonella henselae und Bartonella quintana (bis Anfang der 90er Jahre noch "Rochalimaea"). Katzen sind der Hauptwirt für Bartonella henselae, Katzenflöhe der Vektor. Bei Bartonella quintana erkranken häufig Patienten aus sozial schwachen Verhältnissen, insbesondere Obdachlose. Hier werden verschiedene Erregerreservoire diskutiert (Gasquet et al. 1998). http://hiv.net/link.php?id=12 Literatur Cockerell CJ, LeBoit PE. Bacillary angiomatosis: a newly characterized, pseudoneoplastic, infectious, cutaneous vascular disorder. J Am Acad Dermatol 1990, 22:501-12. http://amedeo.com/lit.php?id=2179301

63. Bartonellosis : Cat Scratch Disease B. quintana is the etiologic agent of trench fever, bacillary angiomatosis,septicemia, endocarditis, and chronic lymphadenopathy. 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.

64. Dermatology Images . 20. . 21. . Herpes simplex. 22. . H. simplex. 23. . Molluscum....... 14. . 15. . 16. . 17. . 18. bacillary angiomatosis. 19. bacillary angiomatosis. Pict. . http://umed.med.utah.edu/MS2/derm/lect13/lect13.htm

Dermatology - Lecture 13 Pict Description Kaposis Kaposis. Kaposis. Kaposis Kaposis Basal cell CA Squamous cell CA Bacillary angiomatosis. Bacillary angiomatosis. Pict Description Herpes simplex H. simplex Molluscum Molluscum. H. zoster H. zoster H. zoster H. simplex Molluscum Molluscum Inflammed molluscum Warts Acne?

65. Masson bacillary angiomatosis, bacillary angiomatosis is an infectious vasoproliferativelesion caused by rickettsial organism Rochalimaea henselae. http://www.geocities.com/sampyroy2000/masson.html

INTRAVASCULAR PAPILLARY ENDOTHELIAL HYPERPLASIA (MASSON'S TUMOUR) Dr. Sampurna Roy M.D. DermAtlas-Related link Home Intravascular papillary endothelial hyperplasia (Masson's tumour) was first described by Pierre Masson , who named it 'hemangioendotheliome vegetant intravasculaire' [Bull Soc Anat-( Paris) 1923; 93:517- 532]. It is a reactive condition representing an unusual form of organizing thrombus. This lesion may occur in any blood vessel in the body, but is commonly located on the fingers, head and neck and trunk. Masson's tumour may either occur in pure form (primary) , as a focal change in a preexisting vascular lesion (hemangioma, pyogenic granuloma, or vascular malformation) and rarely in an extravascular location as a result of organization of a haematoma. Macroscopically, this lesion presents as a small (less than 2 cm in diameter), firm, blue or purple nodule. Sectioning reveals cystic mass containing clotted blood and surrounded by fibrous pseudocapsule. Microscopically, this is well circumscribed lesion which is usually present within a blood vessel (commonly thin-walled vein). Multiple small, delicate papillary structures project into the lumen and these are associated with some thrombus. These papillae are lined by single layer of plump endothelial cells surrounding a collagenized core. There is no multilayering, tufting, solid areas,necrosis and little or no atypia. There is little evidence of mitoses. In the early lesions the the papillae are composed of fibrin. In the late stage there is clumping and fusion of papillae forming an anastomosing network of blood vessel set in a loose meshlike connective tissue.

66. Alive And Kicking!: Cats Implicated In Bacterial Threat To PWAs In that case, the bacteria can cause bacillary angiomatosis, a Kaposi's sarcomalikedisease where lesions form in the skin, bone and brain; or bacillary http://www.thebody.com/critpath/cats.html

Cats Implicated in Bacterial Threat to PWAs From Alive and Kicking!'s FASTFAX #157 December 28, 1997 Cat owners, homeless people, and people living with HIV disease are all at risk for infection with a tiny bacterium that can cause a wide variety of health problems, according to the largest study to date of infected individuals. The bug is known as Bartonella, according to a report in the current issue of The New England Journal of Medicine. One particular type, B. henselae , is carried by fleas and can cause cat scratch disease, a relatively mild illness that strikes 40,000 people in the U.S. every year. It causes swollen lymph nodes, fever and malaise after a cat bite or scratch. A second strain, known as B. quintana , is carried by lice, and is found more often in homeless individuals and others exposed to head or body lice. B. quintana can cause "trench fever," a relapsing fever that earned its name from an epidemic that struck thousands of soldiers during World War I. And either strain spells disaster for people with HIV/AIDS or anyone with a compromised immune system who gets infected, the study says. In that case, the bacteria can cause bacillary angiomatosis, a Kaposi's sarcoma-like disease where lesions form in the skin, bone and brain; or bacillary peliosis, where lesions form in the liver or spleen. Indeed, it wasn't until people with AIDS began coming down with the disorders, that doctors discovered that

67. Dorlands Medical Dictionary bacillary angiomatosis, a condition seen in immunocompromised patients, causedby Bartonella henselae and B. quintana; characteristics range from raised http://www.mercksource.com/pp/us/cns/cns_hl_dorlands.jspzQzpgzEzzSzppdocszSzuszS

68. Definition For:Bacillary Angiomatosis: Bacilarna angiomatoza Poglavlje 10 Bacilarna angiomatoza je posebantip neneoplasticne proliferacije malih krvnih žila u koži http://www.vms.hr/atlas/pathology/keywords/kw_bacillar.html

Bacilarna angiomatoza: Poglavlje: 10 Bacilarna angiomatoza je poseban tip neneoplastiène proliferacije malih krvnih žila u koži, limfnim èvorovima i unutrašnjim organima bolesnika zaraženih HIV-om ili bolesnika koji su zbog bilo kojeg razloga imunosuprimirani. Uzrok je mala bakterija Bartonella henselae. Reagira na antibiotsku terapiju. Entitet treba razlikovati od Kaposijevog sarkoma

69. OIE - Revue A/150320 Catscratch disease and bacillary angiomatosis. bacillary angiomatosis – Bartonella– Cat – Cat-scratch disease – Human immunodeficiency virus. Top. http://www.oie.int/eng/publicat/rt/1503/a_r15320.htm

var code_langue1='f';var code_langue2='e';var rep_l='/publicat/rt/1503/';var lc='en';var code_page='r15320.htm'; var code_sommaire='RT15_3.HTM#sommaire'; document.write(ent); Cat-scratch disease and bacillary angiomatosis B.B. CHOMEL Rev. sci. tech. Off. int. Epiz., 1996, 15 (3) Summary: Cat-scratch disease (CSD) was first described by Debré in 1950, yet the causative bacterial agent of CSD remained obscure until 1992, when Bartonella (formerly Rochalimaea henselae was implicated in CSD by serological and microbiological studies. B. henselae had initially been linked to bacillary angiomatosis (BA), a vascular proliferative disease most commonly associated with long-standing human immunodeficiency virus (HIV) infection or other significant immunosuppression. B. henselae has also been associated with bacillary peliosis, relapsing bacteraemia and endocarditis in humans. Cats are healthy carriers of B. henselae , and can be bacteraemic for months or years. It has recently been demonstrated that B. henselae can be transmitted from cat to cat by the cat flea, but not by direct contact between animals. The author discusses the present state of knowledge on the aetiology, clinical features and epidemiological characteristics of cat-scratch disease and bacillary angiomatosis.

70. Cat-scratch Disease HELLENIC ASSOCIATION DERMATOLOGY VENEREOLOGY Bartonella Infections CAT SCRATCHDISEASE bacillary angiomatosis. Azithromycin for bacillary angiomatosis. http://www.edae.gr/cat-scratch.html

HELLENIC ASSOCIATION DERMATOLOGY - VENEREOLOGY Bartonella Infections: CAT SCRATCH DISEASE Bacillary Angiomatosis G. Karakatsanis, Dermatologist. AIDS Patients at Risk From Germs in Cats and Lice" Washington Times (12/25/97) P. A7 An Ulcerated Nodule Associated With Lymphadenopathy. Diagnosis: Cat-scratch disease (CSD). Arc Dermatol Angiomatosis bacilar Angiomatosis, and Related Syndromes Marra CM. Neurologic complications of Bartonella henselae infection. Department of Medicine, University of Washington School of Medicine, Seattle, USA. Curr Opin Neurol 1995 Jun;8(3):164-9 Atypical Cat-scratch Disease Azithromycin and Cat-scratch Disease. Benjamin Estrada, MD, University of South Alabama. [Infect Med 15(8):517, 1998. ``Although cat-scratch disease (CSD) was first described in 1950, significant progress on elucidating its pathogenesis, creating safe and accurate diagnostic tests, and defining effective treatment were not achieved until this decade. Bartonella(formerly Rochalimaea) henselae was identified as the etiologic agent of CSD in1992 (Regnery RL, et al: Lancet 1992; 339:1443-1445). The same organism wasfound to be the cause of bacillary angiomatosis, which usually affectsimmunocompromised individuals. Medscape.

71. Vol Special stains for organisms were negative. bacillary angiomatosis. Introductionbacillary angiomatosis (BA) was first described in 1983 in a patient with HIV. 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.

72. The Johns Hopkins Microbiology Newsletter Biopsies of the skin and the pharyngeal lesions were consistent with BacillaryAngiomatosis (BA). Warthin bacillary angiomatosis. Bacillary 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

73. WebGuest - Open Directory Health Conditions And Diseases Sites bacillary angiomatosis A comprehensive resource on Bacillaryangiomatosis, sometimes called 'cat scratch disease, from AEGIS. http://directory.webguest.com/index.cgi/Health/Conditions_and_Diseases/Infectiou

74. SmartEngine - SmartGuide ( DISEASE : Bacillary Angiomatosis ) DISEASE bacillary angiomatosis. bacillary angiomatosis A comprehensive resourceon bacillary angiomatosis, sometimes called 'cat scratch disease, from AEGIS. http://disease.smartengine.com/shell/smartpage/Bacillary_Angiomatosis

SmartGuide Web Auctions DISEASE : Bacillary Angiomatosis Categories (1-1 of 1) Health: Conditions_and_Diseases: Infectious_Diseases: Bacterial: Bacillary_Angiomatosis Web Pages Bacillary angiomatosis A comprehensive resource on Bacillary angiomatosis, sometimes called 'cat scratch disease, from AEGIS. - http://www.aegis.com/topics/oi/oi-bacillary.html Health: Conditions and Diseases: Infectious Diseases: Bacterial: Bacillary Angiomatosis About Us Contact Us Our Partners ... Help

75. PAWS >> Your Cat And Your Health CSD is not the same as a cat scratch. Most cat scratches do not developinto CSD or bacillary angiomatosis. What is bacillary angiomatosis? http://www.pawssf.org/library_yourcatyourhealth.htm

The benefits of pet ownership far outweigh the risks. Following these simple guidelines can increase your safety with regards to your cat. Photo by Patrik Argast Safe Pet Guidelines Your Cat and Your Health Your Bird and Your Health Pets and the Immunocompromised Patient Videos and Publications Download ... Download a free copy of Adobe's Acrobat Reader This brochure will review some of the common health concerns that arise for people who have cats as companion animals. For more information on other companion animals or for more general information, see the Safe Pet Guidelines published by PAWS. Zoonoses No, its not what you find on the faces of elephants. Zoonoses (pronounced ZO-uh-NO-seez) refers to those diseases that humans can contract from other animals. Until recently, zoonotic diseases touched few lives in this country. Am I at risk for contracting a disease from my cat? Current evidence supports the fact that pets pose a minimal risk. Your risk may be slightly higher if you fall int to one of the following groups:

76. Dermatologic Manifestations Of HIV Infection - New Treatments, February 5, 2003 Intranasal. bacillary angiomatosis. bacillary angiomatosis is an infectioncaused by two species of Bartonella B. henselae and B. quintana. http://www.medical-library.org/journals2a/derm.htm

This page has moved. Click here to view page. 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 in the 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. Gram’s stain and culture of 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, especially a Washing the infected area once daily or every other day with an antibacterial agent (Hibiclens, Betadine) helps

77. SKIN DISORDERS WITH ADVANCED DISEASE bacillary angiomatosis. bacillary angiomatosis is caused by the Gramnegative,rickettsia-like organisms, Bartonella henselae and Bartonella quintana. http://www.cipladoc.com/publications/aidswatch/userguide/issue3/skindisorderswit

back next Oral candidiasis More than 90% of patients will have oral candidiasis at some stage of their disease, most commonly at low CD4+ counts. The most typical appearance is as a white thick exudate on the oral mucosa (pseudomembranous thrush). However, it may also present as diffuse oropharyngeal hyperaemia (erythematous thrush) or as depapillation of the tongue and angular cheilitis (Fig.3). Most patients respond to oral nystatin suspensions. If thrush is severe or if oesophageal or vaginal candidiasis is also present an oral azole like fluconazole can be used. In advanced HIV disease, low gastric acidity is often present and reduces the absorption of imidazole antifungal therapies such as ketoconazole and itraconazole. Oral hairy leukoplakia More than 90% of patients will have oral candidiasis at some stage of their disease, most commonly at low CD4+ counts. The most typical appearance is as a white thick exudate on the oral mucosa (pseudomembranous thrush). However, it may also present as diffuse oropharyngeal hyperaemia (erythematous thrush) or as depapillation of the tongue and angular cheilitis (Fig.3). Most patients respond to oral nystatin suspensions. If thrush is severe or if oesophageal or vaginal candidiasis is also present an oral azole like fluconazole can be used. In advanced HIV disease, low gastric acidity is often present and reduces the absorption of imidazole antifungal therapies such as ketoconazole and itraconazole.

78. Directory :: Look.com bacillary angiomatosis (2) Sites. bacillary angiomatosis A comprehensive resourceon bacillary angiomatosis, sometimes called 'cat scratch disease, from AEGIS. http://www.look.com/searchroute/directorysearch.asp?p=171706

79. THE LIGHTNING HYPERTEXT OF DISEASE. Packet No. 1 10084 bacillary angiomatosis. The agent of bacillary angiomatosisan approach to the identification of uncultured pathogens. http://www.pathinfo.com/cgi-bin/lh.cgi?tx=uncharacterized

80. THE LIGHTNING HYPERTEXT OF DISEASE. bacillary angiomatosis, originally known as epithelioid angiomatosis, is an unusualbut distinctive reactive tumorlike vascular proliferation in response to http://www.pathinfo.com/cgi-bin/lh.cgi?tx=quinn

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