Document 0354
 DOCN  M9440354
 TI    [Bacillary peliosis in AIDS. Anatomo-clinical study of 2 cases]
 DT    9404
 AU    Mainguene C; Moreau A; Hofman P; Milpied-Homsi B; Roulot D; Marullo S;
       Clauvel JP; Lenne Y; Amouroux J; Service d'Anatomie Pathologique,
       Hopital Avicenne, Bobigny.
 SO    Ann Pathol. 1993;13(5):341-5. Unique Identifier : AIDSLINE MED/94145509
 AB    The authors report two cases of peliosis hepatis, occurring in patients
       with AIDS, who presented a persistent fever and an hepatomegaly. The
       liver biopsies showed areas of peliosis, where bacilli were observed by
       Warthin-Starry stain. In one case, techniques of molecular biology
       allowed the identification of Rochalimaea henselae, pathogen involved in
       bacillary angiomatosis. This rickettsia has been newly recognized in the
       United-States, where 17 cases of bacillary peliosis have been published
       in immunocompromised hosts and mainly in patients with AIDS. These
       observations illustrate the clinical and histological features of this
       new opportunistic infection, as it is described in the literature. The
       clinical signs include an unexplained fever, an hepatomegaly, and in 75%
       of the cases, a splenomegaly. The cutaneous lesions of bacillary
       angiomatosis are associated in 40% of the cases. An antibiotic treatment
       by erythromycin ensures a complete recovery.
 DE    Adult  AIDS-Related Opportunistic Infections/*PATHOLOGY  Case Report
       English Abstract  Human  Male  Peliosis Hepatis/MICROBIOLOGY/*PATHOLOGY
       Rickettsia Infections/*PATHOLOGY  JOURNAL ARTICLE  REVIEW  REVIEW OF
       REPORTED CASES

       SOURCE: National Library of Medicine.  NOTICE: This material may be
       protected by Copyright Law (Title 17, U.S.Code).