On-line version ISSN 1678-9946

Rev. Inst. Med. trop. S. Paulo vol.59  São Paulo  2017  Epub Aug 24, 2017


An unusual case of bacillary angiomatosis in the oral cavity of an AIDS patient who had no concomitant tegumentary lesions – case report and review

Walter de Araujo Eyer-Silva1  *Pedro Eugênio Mendes Arena Soares1  *Marcelo Costa Velho Mendes de Azevedo1 Guilherme Almeida Rosa da Silva1 Dario José Hart Pontes Signorini1 Rogerio Neves-Motta1 Jorge Francisco da Cunha Pinto1 Lívia Machado Moura1 Rodrigo Panno Basílio-de-Oliveira1 Luciana Ferreira de Araujo1 Alexsandra Rodrigues de Mendonça Favacho2 Elba Regina Sampaio Lemos2 


Bacillary angiomatosis (BA) is an angioproliferative disease of immunocompromised patients that usually presents as vascular tumors in the skin and subcutaneous tissues. It is caused by chronic infections with either Bartonella henselae or B. quintana. Oral cavity BA is exceedingly rare and even rarer without simultaneous cutaneous disease. We report herein the case of a 51-year-old HIV-infected man who presented severe odynophagia and an eroded lesion on the hard palate that progressed to an oronasal fistula. No cutaneous lesions were recorded. Doxycycline led to complete resolution. To the best of our knowledge, only six previous cases of oral BA without tegumentary disease have been previously reported and none of them progressed to fistula.

bacillary angiomatosis


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