Massive Hemoperitoneum: A New Manifestation of Bacillary Peliosis in Human Immunodeficiency Virus Infection

Bartonella henselae and Bartonella quintana are agents recognized to be responsible for bacillary angiomatosis (BA) and bacillary parenchymal peliosis (BPP), two diseases characterized by unique vascular lesions affecting almost exclusively patients who are severely immunocompromised by HIV. Histolo...

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Bibliographic Details
Published in:Clinical infectious diseases 1999-04, Vol.28 (4), p.911-912, Article 911
Main Authors: Lozano, Fernando, Corzo, Juan E., León, Eva M., Rufo, Carmen, Loza, Ana, Gómez-Mateos, Jesús M.
Format: Article
Language:English
Subjects:
Abdominal pain
Adult
AIDS
AIDS-Related Opportunistic Infections - diagnosis
AIDS-Related Opportunistic Infections - microbiology
AIDS/HIV
Antibodies, Bacterial - blood
Bacillary angiomatosis
Bartonella henselae
Bartonella henselae - immunology
Bartonella Infections - complications
Bartonella Infections - diagnosis
Bartonella Infections - microbiology
Bartonella quintana
Biological and medical sciences
Biopsies
Bleeding
Brief Reports
Disease manifestations
Fever
Hemoperitoneum - microbiology
HIV
Human immunodeficiency virus
Human viral diseases
Humans
Infectious diseases
Lesions
Liver
Liver Diseases - complications
Liver Diseases - diagnosis
Liver Diseases - microbiology
Male
Medical sciences
Viral diseases
Viral diseases of the lymphoid tissue and the blood. Aids
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Summary:Bartonella henselae and Bartonella quintana are agents recognized to be responsible for bacillary angiomatosis (BA) and bacillary parenchymal peliosis (BPP), two diseases characterized by unique vascular lesions affecting almost exclusively patients who are severely immunocompromised by HIV. Histologic findings in BA consist of lobular proliferations of small blood vessels coated by enlarged endothelial cells. Although BA is most frequently found localized to the skin, involvement of virtually every organ system has been reported. Pathologic findings in BPP include dilated capillaries and blood-filled cavernous (peliotic) spaces involving the liver and spleen. We report a case of an HIV-infected patient with massive hemoperitoneum and hypovolemic shock as the main manifestation of hepatic BPP, complications not previously reported in this entity.
ISSN:1058-4838
1537-6591
DOI:10.1086/517239