Hemorrhagic Hereditary Telangiectasia (Rendu-Osler Disease) and Infectious Diseases: An Underestimated Association
Author(s) -
Sophie DupuisGirod,
Sophie Giraud,
Évelyne Decullier,
Gaëtan Lesca,
Vincent Cottin,
Frédéric Faure,
O. Merrot,
J. C. Saurin,
J.-F. Cordier,
Henri Plauchu
Publication year - 2007
Publication title -
clinical infectious diseases
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 3.44
H-Index - 336
eISSN - 1537-6591
pISSN - 1058-4838
DOI - 10.1086/511645
Subject(s) - medicine , telangiectasia , staphylococcus aureus , disease , dermatology , bacteria , genetics , biology
Among 353 patients with hereditary hemorrhagic telangiectasia retrospectively analyzed during the period 1985-2005, we identified 67 cases of severe infection that affected 48 patients (13.6%). Extracerebral infections accounted for 67% of all infections, and most involved Staphylococcus aureus and were associated with prolonged epistaxis. Cerebral infections accounted for 33% of all infections, were mainly due to multiple and anaerobic bacteria, and were associated with the presence of pulmonary arteriovenous malformations and a short duration of epistaxis.
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