Osseous manifestations of bacillary angiomatosis

Gomez-Jorge, Jackeline; Donahue, F.; Ganz, William; Poblete, Rodrigo; Rodriguez, M.

doi:10.1007/s002560050125

Cited by 5 publications

(4 citation statements)

References 8 publications

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“…In an analysis of 45 HIV patients with musculoskeletal abnormalities, bacillary angiomatosis (caused by infection with Rochalimaea henselae or Rochalimaea quintana ) accounted for 16% of musculoskeletal abnormalities (71) . Because of its cutaneous signs and symptoms and osteolytic lesions, bacillary angiomatosis has been termed a “pseudoneoplastic” infection and must be distinguished from KS (84–87) . Other infectious agents with skeletal tropism in HIV‐infected patients include Mycobacterium haemophilum , (88) Aspergillus species, (89) Treponema pallidum , (90) and Acanthamoeba species (91) …”

Section: Direct Involvement Of Bonementioning

confidence: 99%

Bone and Mineral Metabolism in Human Immunodeficiency Virus Infection

Kühne

Heufelder

Hofbauer

2001

Journal of Bone and Mineral Research

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Section: Direct Involvement Of Bonementioning

confidence: 99%

Bone and Mineral Metabolism in Human Immunodeficiency Virus Infection

Kühne

Heufelder

Hofbauer

2001

Journal of Bone and Mineral Research

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“…Characterized histopathologically by proliferation of small-sized capillaries and a neutrophilic inflammatory infiltrate in the proximity of vessel lumina, bacillary angiomatosis may involve various organs including skin, bone, brain, lymph nodes and gastrointestinal tract [2,5,6]. Although patients with bacillary angiomatosis frequently present with a systemic illness with fever, abdominal symptoms, anemia, hepatomegaly or splenomegaly, the manifestations of bacillary angiomatosis may be exceedingly diverse and often nonspecific [1,7].…”

Section: Introductionmentioning

confidence: 98%

Pyomyositis Associated with Bacillary Angiomatosis in a Patient with HIV Infection

Husain

Singh

2002

Infection

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Bacillary angiomatosis is an opportunistic infection occurring predominantly in patients with HIV infection. The manifestations of this vasculoproliferative disorder vary markedly. Virtually any organ site may be involved, singly or multiply. However cutaneous involvement can be a valuable clue to its diagnosis. We report a case of bacillary angiomatosis in an HIV-infected patient presenting as isolated pyomyositis of the right leg. The rarity of such a presentation and paucity of cutaneous lesions, as in our case, may render timely diagnosis elusive and difficult. Its recognition however, is important since bacillary angiomatosis, if untreated, is potentially fatal.

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“…The causative pathogens implicated in this disease are Bartonella quintana and B henselae (formerly classified as Rochalimaea quintana and R henselae) (7,(22)(23)(24)(25)(26)(27). In our experience, bacillary angiomatosis is uncommon compared with staphylococcal osteomyelitis.…”

Section: Osteomyelitismentioning

confidence: 86%

“…CT demonstrates well-defined nonsclerotic lytic lesions. MR imaging shows well-defined lytic lesions with low and high signal intensity on T1-and T2-weighted images, respectively (23)(24)(25)(26). Pathologic analysis with Warthin-Starry stain of a biopsy sample of the lesion will demonstrate characteristic pleomorphic bacillary organisms (22).…”

Section: Osteomyelitismentioning

confidence: 98%

Imaging Findings in Musculoskeletal Complications of AIDS

Restrepo¹,

Lemos²,

Gordillo³

et al. 2004

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Patients with human immunodeficiency virus (HIV) infection and acquired immunodeficiency syndrome (AIDS) are susceptible to a variety of complications that can affect the musculoskeletal system. These complications can be infectious, inflammatory, or neoplastic or can take some other form. Infection (cellulitis, necrotizing fasciitis, soft-tissue abscess, pyomyositis, osteomyelitis, septic arthritis) is the most common complication. Inflammatory processes include various arthritides as well as polymyositis. Non-Hodgkin lymphoma and Kaposi sarcoma are the two most common neoplasms in this patient population. Miscellaneous disorders include osteonecrosis, osteoporosis, rhabdomyolysis, anemia-related abnormal bone marrow, and hypertrophic osteoarthropathy. The underlying mechanisms leading to these diseases are complex and not fully understood but are thought to be multifactorial. Radiology may play an important role in early diagnosis and treatment planning in this population, in whom clinical and laboratory findings are commonly equivocal and nonspecific. Although biopsy is often necessary for the final diagnosis, it is important for the radiologist to be familiar with the different types of musculoskeletal disease in HIV-positive and AIDS patients so that an appropriate differential diagnosis can be established.

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Osseous manifestations of bacillary angiomatosis

Abstract: We report a case of bacillary angiomatosis in a 32-year-old HIV-positive black Haitian male. Radiologic and pathologic features are presented.

Cited by 5 publications

References 8 publications

Bone and Mineral Metabolism in Human Immunodeficiency Virus Infection

Bone and Mineral Metabolism in Human Immunodeficiency Virus Infection

Pyomyositis Associated with Bacillary Angiomatosis in a Patient with HIV Infection

Imaging Findings in Musculoskeletal Complications of AIDS

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