A 59-year-old female patient, previously healthy, immunocompetent, presented left
bulbar conjunctiva lesions and nodular-ulcerated lesions on the arms and
cervical region, besides left cervical and retroauricular lymphadenopathy. She
had previous contact with domestic cats that excoriated her face. The diagnosis
was conclusive of disseminated sporotrichosis through clinical and
epidemiological history and cultures of skin and ocular secretions. It evolved
with good response to oral antifungal therapy.
Bacillary angiomatosis is an infection determined by Bartonella
henselae and B. quintana, rare and prevalent in
patients with acquired immunodeficiency syndrome. We describe a case of a
patient with AIDS and TCD4+ cells equal to 9/mm3, showing
reddish-violet papular and nodular lesions, disseminated over the skin, most on
the back of the right hand and third finger, with osteolysis of the distal
phalanx observed by radiography. The findings of vascular proliferation with
presence of bacilli, on the histopathological examination of the skin and bone
lesions, led to the diagnosis of bacillary angiomatosis. Corroborating the
literature, in the present case the infection affected a young man (29 years
old) with advanced immunosuppression and clinical and histological lesions
compatible with the diagnosis.
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