2019 Apr 25. doi: 10.1097/DAD.0000000000001439. [Epub ahead of print]

First Report of Bacillary Angiomatosis by Bartonella elizabethae in an HIV-Positive Patient.


We present the case of an HIV-positive patient who developed polymorphous lesions in which the evidence in the skin biopsy corresponds to the diagnosis of bacillary angiomatosis, and further tests proved the pathological agent involved in this case is not the usual Bartonella species, B. henselae and B. quintana, but B. elizabethae. As far as we know, this is the first case of bacillary angiomatosis secondary to this etiological agent.



Before you brush this off as only happening in someone with HIV, please understand that  being infected with Lyme/MSIDS also cripples the immune system making us targets for diseases that often hit those with compromised immune systems.

In this case, another strain of Bartonella not normally associated with lesions is to blame.  This is important from the stand point that again, researchers and medical professionals have put much of this in a very small box which has to be rethought.  

More on Bacillary Angiomatosis:

More on Bartonella:

Similar to Lyme and Babesiosis, Bartonella is transmitted congenitally: