Ocular bacillary angiomatosis in an immunocompromised man.
An immunocompromised man presented with an inflammatory eyelid lesion. Biopsy was performed; histopathology and special staining confirmed a diagnosis of bacillary angiomatosis. The man was treated with oral erythromycin, and the lesion resolved. The etiologic agents of bacillary angiomatosis are Bartonella henselae and Bartonella quintana, Gram-negative coccobacilli. The organisms stain positively with the Warthin-Starry silver stain. Lesions can be cutaneous or visceral and have been commonly described in immunocompromised patients. Histopathologic examination of lesions reveals angiogenesis and cellular proliferation. Bacillary angiomatosis can be treated with oral antibiotics.
Murray
Meltzer A
MA
Department of Ophthalmology, Mount Sinai School of Medicine; and †Weill Cornell Department of Ophthalmology, New York Presbyterian Hospital, New York, New York, USA.
Zamecki
Katherine J
KJ
Paskowski
Joseph
J
Lelli
Gary J
GJ
D000284:Administration, Oral; D016917:Angiomatosis, Bacillary / Q000175:diagnosis / Q000188:drug therapy / Q000382:microbiology*; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D001706:Biopsy; D004917:Erythromycin / Q000627:therapeutic use; D015818:Eye Infections, Bacterial / Q000175:diagnosis / Q000188:drug therapy / Q000382:microbiology*; D005141:Eyelid Diseases / Q000175:diagnosis / Q000188:drug therapy / Q000382:microbiology*; D006801:Humans; D016867:Immunocompromised Host; D008297:Male; D008875:Middle Aged
D000900:Anti-Bacterial Agents; D004917:Erythromycin