Open AccessInitial diagnosis of HIV/AIDS in a 56-year-old man with non-healing forearm lesion
Author(s) -
Heidi Zapata,
Merceditas Villanueva,
Sheela Shenoi
Publication year - 2013
Publication title -
bmj case reports
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.231
H-Index - 26
ISSN - 1757-790X
DOI - 10.1136/bcr-2013-201184
Subject(s) - medicine , human immunodeficiency virus (hiv) , forearm , lesion , pathology , radiology , dermatology , virology
A 56-year-old Hispanic man with no significant medical problems presented with a 2-month history of a non-healing right forearm lesion that progressed despite several courses of empiric antibiotics. The patient underwent incision and drainage. Warthin-Starry stain with immunohistochemistry testing diagnosed bacillary angiomatosis secondary to Bartonella quintana. Subsequently, the patient was diagnosed with HIV, with a CD4 count of 68 cells/mm(3), and a HIV viral load of 47, 914 copies/mL. The patient was treated with doxycycline and started on antiretroviral therapy. The lesion has resolved and he has had no recurrence after 16 months of treatment.