Osteolytic Skull Lesions: Rare Finding in a Patient Presenting with Clinical Features of Progressive Multifocal Leukoencephalopathy (PML) With Unknown HIV Status

Abstract

Bacillary angiomatosis (BA) is a rare but an infrequent opportunistic infection reported mostly in HIV-infected patients. The most common site of involvement is the skin manifestation followed by solid organs involvement like liver and bone. Although most cutaneous manifestations are treatable, the other organs involvement can be fatal in some cases. We report a case of an isolated osteolytic lesion due to the Bacillary angiomatosis (BA). We conclude that Bacillary angiomatosis (BA) should be suspected and screened when an osteolytic bone lesion is identified in immunocompromised patients like HIV with or without cutaneous manifestations as it is deadly fatal if treatment is not given.