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Year : 2012  |  Volume : 78  |  Issue : 1  |  Page : 121-

A case of bacillary angiomatosis developed at a burn site

1 Departments of Infectious Diseases and Clinical Microbiology, Erzurum Region Education and Research Hospital, Erzurum, Turkey
2 Departments of General Surgery and Burn Unit, Erzurum Region Education and Research Hospital, Erzurum, Turkey
3 Departments of Histology and Embryology, Ataturk University, Erzurum, Turkey
4 Department of Dermatology, Ataturk University, Erzurum, Turkey
5 Departments of Microbiology and Clinical Microbiology, Ataturk University, Erzurum, Turkey

Correspondence Address:
Ayse Albayrak
Department of Infectious Diseases and Clinical Microbiology, Erzurum Region Education and Research Hospital, Erzurum
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/0378-6323.90970

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Bacillary Angiomatosis (BA) is frequently seen in patients with human immunodeficiency virus (HIV)-induced immunodeficiency. Our patient was a case that developed granuloma-like lesions in the area of a burn, 8 days after being burnt on the upper right arm by scalding water. No indication of immune deficiency was observed and no history of direct contact with cats was evident. By the sixth day of the patient's admission to our clinic, some of the lesions had reached a diameter of 2.5 cm. An excision biopsy was carried out from the lesions present on the patient. Electron microscopy revealed solitary bacilli located close to the capillary wall. Oral erythromycin treatment was implemented at 250 mg, 4 times a day for 2.5 months. Within this period of treatment, the lesions regressed completely, and a complete cure was achieved. This case demonstrates that BA must be considered in the differential diagnosis of both HIV-infected and immunocompetent patients.


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Online since 15th March '04
Published by Wolters Kluwer - Medknow