The First Report of Bartonella quintana Immune Reconstitution Inflammatory Syndrome Complicated by Jarisch-Herxheimer Reaction

Michelle Dallapiazza; Matthew J. Akiyama

doi:10.1177/2325957417702484

The First Report of Bartonella quintana Immune Reconstitution Inflammatory Syndrome Complicated by Jarisch-Herxheimer Reaction

Michelle Dallapiazza, Matthew J. Akiyama

Medicine

Research output: Contribution to journal › Article

Abstract

Bacillary angiomatosis (BA) is a rare complication of human immune deficiency virus (HIV) infection in the post-antiretroviral therapy (ART) era, and few cases of BA-associated immune reconstitution inflammatory syndrome (IRIS) have been described. We report the case of a 50-year-old man who presented with mass lesions involving the skin, subcutaneous tissues, muscle, and bone. The diagnosis of Bartonella quintana BA was confirmed by serum polymerase chain reaction. The patient's treatment course was complicated by both IRIS and Jarisch-Herxheimer reaction. The case had a favorable outcome with supportive care and continuation of ART and doxycycline.

Original language	English (US)
Pages (from-to)	321-323
Number of pages	3
Journal	Journal of the International Association of Providers of AIDS Care
Volume	16
Issue number	4
DOIs	https://doi.org/10.1177/2325957417702484
State	Published - Jul 1 2017

Keywords

bacillary angiomatosis
Bartonella quintana
HIV
immune reconstitution inflammatory syndrome
Jarisch-Herxheimer reaction

ASJC Scopus subject areas

Immunology
Dermatology
Infectious Diseases

Access to Document

10.1177/2325957417702484

Fingerprint Dive into the research topics of 'The First Report of Bartonella quintana Immune Reconstitution Inflammatory Syndrome Complicated by Jarisch-Herxheimer Reaction'. Together they form a unique fingerprint.

Cite this

Dallapiazza, M., & Akiyama, M. J. (2017). The First Report of Bartonella quintana Immune Reconstitution Inflammatory Syndrome Complicated by Jarisch-Herxheimer Reaction. Journal of the International Association of Providers of AIDS Care, 16(4), 321-323. https://doi.org/10.1177/2325957417702484

@article{55b128f0035942c795b6f8bcf5046b60,

title = "The First Report of Bartonella quintana Immune Reconstitution Inflammatory Syndrome Complicated by Jarisch-Herxheimer Reaction",

abstract = "Bacillary angiomatosis (BA) is a rare complication of human immune deficiency virus (HIV) infection in the post-antiretroviral therapy (ART) era, and few cases of BA-associated immune reconstitution inflammatory syndrome (IRIS) have been described. We report the case of a 50-year-old man who presented with mass lesions involving the skin, subcutaneous tissues, muscle, and bone. The diagnosis of Bartonella quintana BA was confirmed by serum polymerase chain reaction. The patient's treatment course was complicated by both IRIS and Jarisch-Herxheimer reaction. The case had a favorable outcome with supportive care and continuation of ART and doxycycline.",

keywords = "bacillary angiomatosis, Bartonella quintana, HIV, immune reconstitution inflammatory syndrome, Jarisch-Herxheimer reaction",

author = "Michelle Dallapiazza and Akiyama, {Matthew J.}",

year = "2017",

month = jul,

day = "1",

doi = "10.1177/2325957417702484",

language = "English (US)",

volume = "16",

pages = "321--323",

journal = "Journal of the International Association of Providers of AIDS Care",

issn = "2325-9574",

publisher = "SAGE Publications Inc.",

number = "4",

}

TY - JOUR

T1 - The First Report of Bartonella quintana Immune Reconstitution Inflammatory Syndrome Complicated by Jarisch-Herxheimer Reaction

AU - Dallapiazza, Michelle

AU - Akiyama, Matthew J.

PY - 2017/7/1

Y1 - 2017/7/1

N2 - Bacillary angiomatosis (BA) is a rare complication of human immune deficiency virus (HIV) infection in the post-antiretroviral therapy (ART) era, and few cases of BA-associated immune reconstitution inflammatory syndrome (IRIS) have been described. We report the case of a 50-year-old man who presented with mass lesions involving the skin, subcutaneous tissues, muscle, and bone. The diagnosis of Bartonella quintana BA was confirmed by serum polymerase chain reaction. The patient's treatment course was complicated by both IRIS and Jarisch-Herxheimer reaction. The case had a favorable outcome with supportive care and continuation of ART and doxycycline.

AB - Bacillary angiomatosis (BA) is a rare complication of human immune deficiency virus (HIV) infection in the post-antiretroviral therapy (ART) era, and few cases of BA-associated immune reconstitution inflammatory syndrome (IRIS) have been described. We report the case of a 50-year-old man who presented with mass lesions involving the skin, subcutaneous tissues, muscle, and bone. The diagnosis of Bartonella quintana BA was confirmed by serum polymerase chain reaction. The patient's treatment course was complicated by both IRIS and Jarisch-Herxheimer reaction. The case had a favorable outcome with supportive care and continuation of ART and doxycycline.

KW - bacillary angiomatosis

KW - Bartonella quintana

KW - HIV

KW - immune reconstitution inflammatory syndrome

KW - Jarisch-Herxheimer reaction

UR - http://www.scopus.com/inward/record.url?scp=85027230414&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85027230414&partnerID=8YFLogxK

U2 - 10.1177/2325957417702484

DO - 10.1177/2325957417702484

M3 - Article

C2 - 28393665

AN - SCOPUS:85027230414

VL - 16

SP - 321

EP - 323

JO - Journal of the International Association of Providers of AIDS Care

JF - Journal of the International Association of Providers of AIDS Care

SN - 2325-9574

IS - 4

ER -