Bacillary Angiomatosis and Bacteremia due to Bartonella quintana in a Patient with Chronic Lymphocytic Leukemia
We present a 63-year-old man treated with alemtuzumab for chronic lymphocytic leukemia who developed multiple angiomatous papules and fever. Real-time polymerase chain reaction (RT-PCR) from a skin lesion and blood sample revealed Bartonella quintana as causative agent confirming the diagnosis of ba...
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| Format: | Article |
| Language: | English |
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Wiley
2013-01-01
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| Series: | Case Reports in Infectious Diseases |
| Online Access: | http://dx.doi.org/10.1155/2013/694765 |
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| _version_ | 1849434995891896320 |
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| author | Rosamaria Fulchini Guido Bloemberg Katia Boggian |
| author_facet | Rosamaria Fulchini Guido Bloemberg Katia Boggian |
| author_sort | Rosamaria Fulchini |
| collection | DOAJ |
| description | We present a 63-year-old man treated with alemtuzumab for chronic lymphocytic leukemia who developed multiple angiomatous papules and fever. Real-time polymerase chain reaction (RT-PCR) from a skin lesion and blood sample revealed Bartonella quintana as causative agent confirming the diagnosis of bacillary angiomatosis with bacteremia. Treatment with doxycycline, initially in combination with gentamicin, led to complete resolution of the lesions. This case shows the importance of considering bacillary angiomatosis as a rare differential diagnosis of angiomatous lesions in the immunocompromised patient, particularly in chronic lymphocytic leukemia and following lymphocyte depleting treatments as alemtuzumab. |
| format | Article |
| id | doaj-art-e483979a6b8c46ebb2d649701949e5e1 |
| institution | Kabale University |
| issn | 2090-6625 2090-6633 |
| language | English |
| publishDate | 2013-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Infectious Diseases |
| spelling | doaj-art-e483979a6b8c46ebb2d649701949e5e12025-08-20T03:26:26ZengWileyCase Reports in Infectious Diseases2090-66252090-66332013-01-01201310.1155/2013/694765694765Bacillary Angiomatosis and Bacteremia due to Bartonella quintana in a Patient with Chronic Lymphocytic LeukemiaRosamaria Fulchini0Guido Bloemberg1Katia Boggian2Division of Infectious Diseases, Department of Internal Medicine, Cantonal Hospital of St. Gallen, 9007 St. Gallen, SwitzerlandInstitute of Medical Microbiology, University of Zurich, 8006 Zurich, SwitzerlandDivision of Infectious Diseases, Department of Internal Medicine, Cantonal Hospital of St. Gallen, 9007 St. Gallen, SwitzerlandWe present a 63-year-old man treated with alemtuzumab for chronic lymphocytic leukemia who developed multiple angiomatous papules and fever. Real-time polymerase chain reaction (RT-PCR) from a skin lesion and blood sample revealed Bartonella quintana as causative agent confirming the diagnosis of bacillary angiomatosis with bacteremia. Treatment with doxycycline, initially in combination with gentamicin, led to complete resolution of the lesions. This case shows the importance of considering bacillary angiomatosis as a rare differential diagnosis of angiomatous lesions in the immunocompromised patient, particularly in chronic lymphocytic leukemia and following lymphocyte depleting treatments as alemtuzumab.http://dx.doi.org/10.1155/2013/694765 |
| spellingShingle | Rosamaria Fulchini Guido Bloemberg Katia Boggian Bacillary Angiomatosis and Bacteremia due to Bartonella quintana in a Patient with Chronic Lymphocytic Leukemia Case Reports in Infectious Diseases |
| title | Bacillary Angiomatosis and Bacteremia due to Bartonella quintana in a Patient with Chronic Lymphocytic Leukemia |
| title_full | Bacillary Angiomatosis and Bacteremia due to Bartonella quintana in a Patient with Chronic Lymphocytic Leukemia |
| title_fullStr | Bacillary Angiomatosis and Bacteremia due to Bartonella quintana in a Patient with Chronic Lymphocytic Leukemia |
| title_full_unstemmed | Bacillary Angiomatosis and Bacteremia due to Bartonella quintana in a Patient with Chronic Lymphocytic Leukemia |
| title_short | Bacillary Angiomatosis and Bacteremia due to Bartonella quintana in a Patient with Chronic Lymphocytic Leukemia |
| title_sort | bacillary angiomatosis and bacteremia due to bartonella quintana in a patient with chronic lymphocytic leukemia |
| url | http://dx.doi.org/10.1155/2013/694765 |
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