Bacillary angiomatosis triggered by severe trauma in a healthy Caucasian patient: A case report

  • Authors:
    • Mihaela Balaban
    • Roxana Ioana Nedelcu
    • Gabriela Balmes
    • Teodora Adela Todorovic
    • Alice Brinzea
    • Luciana Nichita
    • Cristiana Gabriela Popp
    • Razvan Theodor Andrei
    • Sabina Andrada Zurac
    • Daniela Adriana Ion
    • Gabriela Turcu
  • View Affiliations

  • Published online on: November 29, 2019     https://doi.org/10.3892/etm.2019.8260
  • Pages: 56-60
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Abstract

Bacillary angiomatosis represents a cutaneous and systemic infection caused by Bartonella species, typically described in the past in HIV‑positive patients or associated with immunodeficiencies. More recent case reports had brought into attention the probability that this entity may manifest in otherwise healthy individuals, triggered by trauma and skin burns. The physiopathology of this neoproliferative process is based on the production of angiogenetic molecules, such as vascular endothelial growth factor (VEGF) and IL‑8. In case of an inadequate treatment, the evolution can be fatal, with a systemic dissemination of the abscesses within the gastro‑intestinal tract, respiratory tract, brain and bones. The appropriate therapy is with oral erythromycin and doxycycline, but several treatments such as cephalosporins, penicillins, macrolides, aminoglycosides, rifampin, dapsone, ciprofloxacin, have been tried with favorable results. Herein we present the case of a Caucasian patient, seronegative for HIV, who developed multiple vascular papules and nodules on the face, after a severe trauma and which healed after an adequate antibiotic therapy with oral clarithromycin.
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July-2020
Volume 20 Issue 1

Print ISSN: 1792-0981
Online ISSN:1792-1015

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Spandidos Publications style
Balaban M, Nedelcu RI, Balmes G, Todorovic TA, Brinzea A, Nichita L, Popp CG, Andrei RT, Zurac SA, Ion DA, Ion DA, et al: Bacillary angiomatosis triggered by severe trauma in a healthy Caucasian patient: A case report. Exp Ther Med 20: 56-60, 2020.
APA
Balaban, M., Nedelcu, R.I., Balmes, G., Todorovic, T.A., Brinzea, A., Nichita, L. ... Turcu, G. (2020). Bacillary angiomatosis triggered by severe trauma in a healthy Caucasian patient: A case report. Experimental and Therapeutic Medicine, 20, 56-60. https://doi.org/10.3892/etm.2019.8260
MLA
Balaban, M., Nedelcu, R. I., Balmes, G., Todorovic, T. A., Brinzea, A., Nichita, L., Popp, C. G., Andrei, R. T., Zurac, S. A., Ion, D. A., Turcu, G."Bacillary angiomatosis triggered by severe trauma in a healthy Caucasian patient: A case report". Experimental and Therapeutic Medicine 20.1 (2020): 56-60.
Chicago
Balaban, M., Nedelcu, R. I., Balmes, G., Todorovic, T. A., Brinzea, A., Nichita, L., Popp, C. G., Andrei, R. T., Zurac, S. A., Ion, D. A., Turcu, G."Bacillary angiomatosis triggered by severe trauma in a healthy Caucasian patient: A case report". Experimental and Therapeutic Medicine 20, no. 1 (2020): 56-60. https://doi.org/10.3892/etm.2019.8260