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Bacillary AngiomatosisAka: Epithelioid Angiomatosis

Etiology
1. Rickettsia henselae
2. Rickettsia quintana
Symptoms
1. Fever
2. Chills
3. Anorexia
4. Weight loss
5. Gastrointestinal symptoms
Signs
1. Skin Lesions consistent with Kaposi's Sarcoma
Diagnosis
1. Biopsy shows bacillary organisms
Management
1. Risks
  1. Jarisch-Herxheimer Reaction
2. Antibiotic Course
  1. Skin
    1. Antibiotics for 2 months
    2. Skin lesions may resolve as early as in 1-3 weeks
  2. Systemic (Hepatic, Splenic or CNS): 4 months
3. Antibiotics
  1. Erythromycin 500 mg PO qid
  2. Doxycycline 100 mg PO bid
4. Alternative antibiotics
  1. Azithromycin 1 g PO qd
  2. Clarithromycin 500 to 1000 mg PO qd
References
1. Goldschmidt (1999) J Am Board Fam Pract 12(1):71

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This page was written by Scott Moses, MD. This page was last revised before 5/10/08, prior to consistent tracking of revision date. This page was last published on 3/22/2010. Please send comments and questions to the editor. Contact information may be found on the page About the Family Practice Notebook. These pages are best viewed with Microsoft Internet Explorer 6.0.