Abstract
0196-4399/00 (see frontmatter) © 2009 Elsevier Clinical Microbiology Newsletter 31:19,2009 Introduction A 26-year-old man presented with fever, malaise, scrotal skin lesions, and inguinal lymphadenopathy. An excisional biopsy specimen from an inguinal lymph node demonstrated a florid vascular proliferation. AWarthin-Starry stain, an immunoperoxidase stain, and PCR studies confirmed the presence of Bartonella henselae. The diagnosis of bacillary angiomatosis secondary to B. henselae infection was established. Bacillary angiomatosis is a vascular proliferative disease most often reported in patients with human immunodeficiency virus (HIV) infection (1) and less frequently in patients with other causes of immunosuppression. Because of the high correlation between HIV and Bartonella infection, we recommended that the patient be tested for HIV infection, whereupon he was found to be positive for HIV. We recommend that all patients with bacillary angiomatosis and unknown immune status undergo HIV studies.
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