In 1982 a 32-year-old married bricklayer was admitted to a hospitalin Rochester, New York, because of fever and subcutaneous nodules.The nodules were firm, 2 to 6 cm in diameter, and nontenderand had appeared in the three weeks before admission. The patient'sCD4+ lymphocyte count was 40 cells per cubic millimeter. Duringthe first several days of hospitalization additional nodulesappeared and the original nodules increased in size. Histologicexamination demonstrated angioproliferation, and bacillary formswere identified in the lesions by Warthin-Starry staining, althoughstandard bacterial cultures were negative. The patient was treatedwith oral erythromycin, and the . . . [Full Text of this Article]
The Organisms
Epidemiology
Clinical Manifestations and Histopathological Findings
Cutaneous Bacillary Angiomatosis
Extracutaneous Manifestations
Bacillary Peliosis Hepatis
Fever with Bacteremia (Rochalimaea Bacteremic Syndrome)
Cat Scratch Disease
Diagnosis
Treatment
Conclusions
Source Information
From the Departments of Medicine, Pathology, and Microbiology, University of Virginia, Charlottesville (K.A.A., W.A.P.); and the Departments of Dermatology and Pathology, University of Texas Southwestern Medical Center, Dallas (C.J.C.).
Address reprint requests to Dr. Petri at MR4 Bldg., Rm. 2115, University of Virginia Medical Center, Charlottesville, VA 22908.
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