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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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| Published in: | Clinical infectious diseases 1999-04, Vol.28 (4), p.911-912, Article 911 |
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| container_end_page | 912 |
| container_issue | 4 |
| container_start_page | 911 |
| container_title | Clinical infectious diseases |
| container_volume | 28 |
| creator | Lozano, Fernando Corzo, Juan E. León, Eva M. Rufo, Carmen Loza, Ana Gómez-Mateos, Jesús M. |
| description | 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. |
| doi_str_mv | 10.1086/517239 |
| format | article |
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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.</description><identifier>ISSN: 1058-4838</identifier><identifier>EISSN: 1537-6591</identifier><identifier>DOI: 10.1086/517239</identifier><identifier>PMID: 10825061</identifier><identifier>CODEN: CIDIEL</identifier><language>eng</language><publisher>Chicago, IL: The University of Chicago Press</publisher><subject>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. 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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.</description><subject>Abdominal pain</subject><subject>Adult</subject><subject>AIDS</subject><subject>AIDS-Related Opportunistic Infections - diagnosis</subject><subject>AIDS-Related Opportunistic Infections - microbiology</subject><subject>AIDS/HIV</subject><subject>Antibodies, Bacterial - blood</subject><subject>Bacillary angiomatosis</subject><subject>Bartonella henselae</subject><subject>Bartonella henselae - immunology</subject><subject>Bartonella Infections - complications</subject><subject>Bartonella Infections - diagnosis</subject><subject>Bartonella Infections - microbiology</subject><subject>Bartonella quintana</subject><subject>Biological and medical sciences</subject><subject>Biopsies</subject><subject>Bleeding</subject><subject>Brief Reports</subject><subject>Disease manifestations</subject><subject>Fever</subject><subject>Hemoperitoneum - microbiology</subject><subject>HIV</subject><subject>Human immunodeficiency virus</subject><subject>Human viral diseases</subject><subject>Humans</subject><subject>Infectious diseases</subject><subject>Lesions</subject><subject>Liver</subject><subject>Liver Diseases - complications</subject><subject>Liver Diseases - diagnosis</subject><subject>Liver Diseases - microbiology</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Viral diseases</subject><subject>Viral diseases of the lymphoid tissue and the blood. 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Aids</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Lozano, Fernando</creatorcontrib><creatorcontrib>Corzo, Juan E.</creatorcontrib><creatorcontrib>León, Eva M.</creatorcontrib><creatorcontrib>Rufo, Carmen</creatorcontrib><creatorcontrib>Loza, Ana</creatorcontrib><creatorcontrib>Gómez-Mateos, Jesús M.</creatorcontrib><collection>Istex</collection><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Virology and AIDS Abstracts</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>MEDLINE - Academic</collection><jtitle>Clinical infectious diseases</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Lozano, Fernando</au><au>Corzo, Juan E.</au><au>León, Eva M.</au><au>Rufo, Carmen</au><au>Loza, Ana</au><au>Gómez-Mateos, Jesús M.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Massive Hemoperitoneum: A New Manifestation of Bacillary Peliosis in Human Immunodeficiency Virus Infection</atitle><jtitle>Clinical infectious diseases</jtitle><addtitle>Clinical Infectious Diseases</addtitle><date>1999-04-01</date><risdate>1999</risdate><volume>28</volume><issue>4</issue><spage>911</spage><epage>912</epage><pages>911-912</pages><artnum>911</artnum><issn>1058-4838</issn><eissn>1537-6591</eissn><coden>CIDIEL</coden><abstract>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. 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| ispartof | Clinical infectious diseases, 1999-04, Vol.28 (4), p.911-912, Article 911 |
| issn | 1058-4838 1537-6591 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_69479055 |
| source | Oxford Journals Online; JSTOR |
| 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 |
| title | Massive Hemoperitoneum: A New Manifestation of Bacillary Peliosis in Human Immunodeficiency Virus Infection |
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