TY - JOUR
T1 - The First Report of Bartonella quintana Immune Reconstitution Inflammatory Syndrome Complicated by Jarisch-Herxheimer Reaction
AU - Dallapiazza, Michelle
AU - Akiyama, Matthew Jiro
N1 - Publisher Copyright:
© The Author(s) 2015.
PY - 2017/7/1
Y1 - 2017/7/1
N2 - Bacillary angiomatosis (BA) is a rare complication of human immune deficiency virus (HIV) infection in the post-antiretroviral therapy (ART) era, and few cases of BA-associated immune reconstitution inflammatory syndrome (IRIS) have been described. We report the case of a 50-year-old man who presented with mass lesions involving the skin, subcutaneous tissues, muscle, and bone. The diagnosis of Bartonella quintana BA was confirmed by serum polymerase chain reaction. The patient's treatment course was complicated by both IRIS and Jarisch-Herxheimer reaction. The case had a favorable outcome with supportive care and continuation of ART and doxycycline.
AB - Bacillary angiomatosis (BA) is a rare complication of human immune deficiency virus (HIV) infection in the post-antiretroviral therapy (ART) era, and few cases of BA-associated immune reconstitution inflammatory syndrome (IRIS) have been described. We report the case of a 50-year-old man who presented with mass lesions involving the skin, subcutaneous tissues, muscle, and bone. The diagnosis of Bartonella quintana BA was confirmed by serum polymerase chain reaction. The patient's treatment course was complicated by both IRIS and Jarisch-Herxheimer reaction. The case had a favorable outcome with supportive care and continuation of ART and doxycycline.
KW - Bartonella quintana
KW - HIV
KW - Jarisch-Herxheimer reaction
KW - bacillary angiomatosis
KW - immune reconstitution inflammatory syndrome
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U2 - 10.1177/2325957417702484
DO - 10.1177/2325957417702484
M3 - Article
C2 - 28393665
AN - SCOPUS:85027230414
SN - 2325-9574
VL - 16
SP - 321
EP - 323
JO - Journal of the International Association of Providers of AIDS Care
JF - Journal of the International Association of Providers of AIDS Care
IS - 4
ER -