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Arquivos de Medicina 2008
Angiomatose Bacilar em Doente Imunocompetente: A Propósito de um Caso ClínicoKeywords: bacillary angiomatosis, bartonella henselae, bartonella quintana, warthin-starry stain. Abstract: bacillary angiomatosis is a recently described disease characterized by vascular lesions of skin, viscera or both. although primarily associated with human immunodeficiency virus (hiv) infection, bacillary angiomatosis has been described in non-hiv immunosuppressed and immunocompetent patients as well. bartonella have been found to be responsible for bacillary angiomatosis and most cases respond readily to antimicrobial therapy. this is a clinic case of an immunocompetent patient with a history of cat contact who presented with many widespread cutaneous lesions. abdominal ct revealed intraabdominal lymphadenopathies, histopathology of cutaneous biopsy only revealed mononuclear infiltrate and dna analysis by pcr (polimerase-chain-reaction) for bartonell spp. in cutaneous biopsy and in blood were positive. the patient was treated with doxycycline for three months, with complete resolution.
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