Bacillary angiomatosis in renal transplant recipient and the helpful investigation by PCR to identified Bartonella spp

Authors

  • Nutthamon Bowornsathitchai Division of Dermatology, Faculty of Medicine, King Chulalongkorn memorial hospital
  • Ratchathorn Panchaprateep DIVISION OF DERMATOLOGY, DEPARTMENT OF MEDICINE, KING CHULALONGKORN MEMORIAL HOSPITAL, BANGKOK, THAILAND.

Keywords:

bacillary angiomatosis, renal transplant recipient, PCR

Abstract

A 37-year-old Thai man, with end stage renal disease, who underwent renal transplantation, presented with a 1-month history of solitary, asymptomatic, rapidly-growing fragile erythematous-violaceous nodule on the dorsum of right hand. He also had subacute fever, fatigue and weight loss of 3 kilograms in 2 weeks. Skin excisional biopsy was performed and revealed pyogenic granuloma like lesion. Bacterial identification by PCR technique showed Bartonella henselae. He also had a history of contact with many cats near his home.

Bacillary angiomatosis (BA) is angioproliferative disease caused by Bartonella henselae or Bartonella quintana infection found in immunocompromised host especially HIV infection and organ transplant patients.  The disease has potentially life-threatening course yet easily treatable. PCR has higher sensitivity, specificity and need shorter time than other methods to identify Bartonella spp. Treatment of choice is macrolide or doxycycline.

References

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Published

2019-10-01

How to Cite

Bowornsathitchai, N., & Panchaprateep, R. (2019). Bacillary angiomatosis in renal transplant recipient and the helpful investigation by PCR to identified Bartonella spp. Thai Journal of Dermatology, 35(3), 133–138. Retrieved from https://he02.tci-thaijo.org/index.php/TJD/article/view/162040

Issue

Vol. 35 No. 3 (2019): July - September

Section

Case Report

License

เนื้อหาและข้อมูลในบทความที่ลงตีพิมพ์ในวารสารโรคผิวหนัง ถือเป็นข้อคิดเห็นและความรับผิดชอบของผู้เขียนบทความโดยตรงซึ่งกองบรรณาธิการวารสาร ไม่จำเป็นต้องเห็นด้วย หรือร่วมรับผิดชอบใดๆ

บทความ ข้อมูล เนื้อหา รูปภาพ ฯลฯ ที่ได้รับการตีพิมพ์ในวารสารโรคผิวหนัง ถือเป็นลิขสิทธิ์ของวารสารฯ หากบุคคลหรือหน่วยงานใดต้องการนำทั้งหมดหรือส่วนหนึ่งส่วนใดไปเผยแพร่ต่อหรือเพื่อกระทำการใดๆ จะต้องได้รับอนุญาตเป็นลายลักอักษรจากบรรณาธิการวารสารโรคผิวหนังก่อนเท่านั้น