| Literature DB >> 24248316 |
Heidi J Zapata1, Merceditas Villanueva, Sheela Shenoi.
Abstract
A 56-year-old Hispanic man with no significant medical problems presented with a 2-month history of a non-healing right forearm lesion that progressed despite several courses of empiric antibiotics. The patient underwent incision and drainage. Warthin-Starry stain with immunohistochemistry testing diagnosed bacillary angiomatosis secondary to Bartonella quintana. Subsequently, the patient was diagnosed with HIV, with a CD4 count of 68 cells/mm(3), and a HIV viral load of 47, 914 copies/mL. The patient was treated with doxycycline and started on antiretroviral therapy. The lesion has resolved and he has had no recurrence after 16 months of treatment.Entities:
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Year: 2013 PMID： 24248316 PMCID： PMC3841407 DOI： 10.1136/bcr-2013-201184
Source DB: PubMed Journal: BMJ Case Rep ISSN： 1757-790X