title: Bartonella quintana coinfection with Mycobacterium avium complex and CMV in an AIDS patient: case presentation.
abstract: 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.
authors.affiliation: Service de maladies infectieuses et de médecine tropicale, hôpital Nord, APHM, Marseille, France. clarisse.rovery@mail.ap-hm.fr
authors.forename: Clarisse
authors.initials: C
authors.lastname: Rovery
authors.forename: Jean Marc
authors.initials: JM
authors.lastname: Rolain
authors.forename: Hubert
authors.initials: H
authors.lastname: Lepidi
authors.forename: Christine
authors.initials: C
authors.lastname: Zandotti
authors.forename: Jacques
authors.initials: J
authors.lastname: Moreau
authors.forename: Philippe
authors.initials: P
authors.lastname: Brouqui
mesh_terms: 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
chemical_list: D000900:Anti-Bacterial Agents; D000914:Antibodies, Viral; D017828:Rifabutin; D004977:Ethambutol; D017291:Clarithromycin