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Bronchopulmonary bacillary angiomatosis
M A Foltzer1, W B Guiney, G C Wager
1Department of Medicine, Mary Imogene Bassett Hospital, Cooperstown, NY.
Chest
|September 1, 1993
Summary
Bacillary angiomatosis can affect the lungs, causing bronchial polyps in patients with AIDS. Oral clarithromycin effectively treated these symptoms and radiographic findings.
Area of Science:
- Infectious Diseases
- Pulmonology
- Oncology
Background:
- Human Immunodeficiency Virus (HIV) infection and Acquired Immunodeficiency Syndrome (AIDS) can predispose individuals to opportunistic infections.
- Bacillary angiomatosis (BA) is a bacterial infection typically seen in immunocompromised patients, caused by Bartonella henselae or Bartonella quintana.
Observation:
- A patient with a history of AIDS presented with acute febrile interstitial pneumonitis, hilar and paratracheal adenopathy, and bronchial polyps.
- Histopathological examination of the bronchial polyps confirmed they were typical for bacillary angiomatosis.
Findings:
- The patient experienced a complete symptomatic and radiographic recovery following treatment with oral clarithromycin.
- This case highlights pulmonary involvement in bacillary angiomatosis, specifically the manifestation as bronchial polyps.
Implications:
- Clarithromycin is an effective oral antibiotic for treating bacillary angiomatosis, including its pulmonary manifestations.
- Early diagnosis and appropriate antibiotic therapy are crucial for managing bacillary angiomatosis in immunocompromised patients.
- This case underscores the importance of considering bacillary angiomatosis in the differential diagnosis of pulmonary lesions in patients with AIDS.