Bartonella quintana coinfection with Mycobacterium avium complex and CMV in an AIDS patient: case presentation.
BACKGROUND
As a greater number of HIV-infected patients survive despite profound immunodepression due to medical progress, we face complex infection with multiple agents in AIDS-patients.


METHODS
We report the case of an AIDS patient with a primary clinical presentation suggestive of bacillary angiomatosis. We also found in cutaneous lesions Mycobacterium avium complex and cytomegalovirus.


CONCLUSIONS
This clinical case illustrates the possibility of multiple coinfections in AIDS patients and the need to be exhaustive in evaluating infectious diseases in severely immunocompromised patients.
Rovery
Clarisse
C
Service de maladies infectieuses et de médecine tropicale, hôpital Nord, APHM, Marseille, France. clarisse.rovery@mail.ap-hm.fr
Rolain
Jean Marc
JM
Lepidi
Hubert
H
Zandotti
Christine
C
Moreau
Jacques
J
Brouqui
Philippe
P
D017088:AIDS-Related Opportunistic Infections / Q000150:complications*; D016917:Angiomatosis, Bacillary / Q000150:complications* / Q000188:drug therapy / Q000382:microbiology; D000900:Anti-Bacterial Agents / Q000008:administration & dosage; D000914:Antibodies, Viral / Q000378:metabolism; D018413:Bartonella quintana / Q000302:isolation & purification*; D001706:Biopsy; D017291:Clarithromycin / Q000008:administration & dosage; D003587:Cytomegalovirus / Q000302:isolation & purification; D003586:Cytomegalovirus Infections / Q000150:complications*; D062109:Dermatologic Surgical Procedures; D004977:Ethambutol / Q000008:administration & dosage; D006801:Humans; D008297:Male; D008875:Middle Aged; D015269:Mycobacterium avium Complex / Q000302:isolation & purification; D015270:Mycobacterium avium-intracellulare Infection / Q000150:complications* / Q000188:drug therapy; D017828:Rifabutin / Q000008:administration & dosage; D012867:Skin / Q000382:microbiology / Q000473:pathology; D016896:Treatment Outcome
D000900:Anti-Bacterial Agents; D000914:Antibodies, Viral; D017828:Rifabutin; D004977:Ethambutol; D017291:Clarithromycin