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Bacillary Angiomatosis in an Immunocompetent Child: The First Reported Case
Author(s) -
Paul Maria A.,
Fleischer Alan B.,
Wieselthier Janet S.,
White Wain L.
Publication year - 1994
Publication title -
pediatric dermatology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.542
H-Index - 73
eISSN - 1525-1470
pISSN - 0736-8046
DOI - 10.1111/j.1525-1470.1994.tb00101.x
Subject(s) - bacillary angiomatosis , medicine , angiomatosis , serology , dermatology , pathology , bartonella henselae , immunology , antibody
Bacillary angiomatosis, an infectious process associated with Rochalima spp., was thought until recently to be restricted to HIV‐infected or otherwise immunosuppressed patients. In 1993, bacillary angiomatosis was reported in several immunocompetent adults. An extensive literature review failed to find references to bacillary angiomatosis in immunocompetent children. We describe a 6‐year‐old female who presented with a single, rapidly growing, friable, erythematous papule on her neck. Histologic examination of a biopsy specimen confirmed the diagnosis of bacillary angiomatosis. The patient was otherwise healthy, and her physical examination was normal. Laboratory studies, including HIV serology, were normal. The patient was treated with six weeks of oral erythromycin without evidence of recurrence. We present and discuss the implications of the first case of bacillary angiomatosis in an immunocompetent child.