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Case Reports
. 2006 May 29:6:89.
doi: 10.1186/1471-2334-6-89.

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

Clarisse Rovery  1 , Jean Marc Rolain, Hubert Lepidi, Christine Zandotti, Jacques Moreau, Philippe Brouqui
Affiliations
Case Reports

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

Clarisse Rovery et al. BMC Infect Dis. .

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.

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Figures

Figure 1
Figure 1
Histological examination of the skin biopsy sample demonstrating typical aspects of BA; clusters of foamy macrophages were also observed in the dermis, mixed with the histological features of BA.
Figure 2
Figure 2
Clusters of bacteria (indicated by an arrow) were revealed on Warthin-Starry staining.
Figure 3
Figure 3
Immunohistochemical examination using anti-CMV monoclonal mouse antibody was positive (indicated by an arrow).
See this image and copyright information in PMC

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