Bartonella quintana coinfection with Mycobacterium avium complex and CMV in an AIDS patient: case presentation

BMC Infect Dis. 2006 May 29:6:89. doi: 10.1186/1471-2334-6-89.

Abstract

Background: As a greater number of HIV-infected patients survive despite profound immunodepression due to medical progress, we face complex infection with multiple agents in AIDS-patients.

Case presentation: We report the case of an AIDS patient with a primary clinical presentation suggestive of bacillary angiomatosis. We also found in cutaneous lesions Mycobacterium avium complex and cytomegalovirus.

Conclusion: This clinical case illustrates the possibility of multiple coinfections in AIDS patients and the need to be exhaustive in evaluating infectious diseases in severely immunocompromised patients.

Publication types

  • Case Reports
  • Comparative Study

MeSH terms

  • AIDS-Related Opportunistic Infections / complications*
  • Angiomatosis, Bacillary / complications*
  • Angiomatosis, Bacillary / drug therapy
  • Angiomatosis, Bacillary / microbiology
  • Anti-Bacterial Agents / administration & dosage
  • Antibodies, Viral / metabolism
  • Bartonella quintana / isolation & purification*
  • Biopsy
  • Clarithromycin / administration & dosage
  • Cytomegalovirus / isolation & purification
  • Cytomegalovirus Infections / complications*
  • Dermatologic Surgical Procedures
  • Ethambutol / administration & dosage
  • Humans
  • Male
  • Middle Aged
  • Mycobacterium avium Complex / isolation & purification
  • Mycobacterium avium-intracellulare Infection / complications*
  • Mycobacterium avium-intracellulare Infection / drug therapy
  • Rifabutin / administration & dosage
  • Skin / microbiology
  • Skin / pathology
  • Treatment Outcome

Substances

  • Anti-Bacterial Agents
  • Antibodies, Viral
  • Rifabutin
  • Ethambutol
  • Clarithromycin