Bodokh I, Lacour J P, Perrin C, Rosenthal E, Dubois D, Gallais V, Cassuto J P, Ortonne J P
Service de Dermatologie, Hôpital Pasteur, Nice.
Presse Med. 1992 Oct 17;21(34):1616-8, 1623-4.
Bacillary angiomatosis is a newly recognized multisystem opportunistic infection seen in the human immunodeficiency virus infection. The disease is marked by papular and nodular vascular skin lesions that clinically resemble Kaposi's sarcoma. Histologically, the lesions are different and show clusters of bacteria showing the structure of Gram negative bacilli staining with Warthin-Starry stain. Transmission electron microscopy shows that the organisms (1 to 2 microns) have a trilamellar wall structure. Treatment with oral erythromycin (2 to 3 g a day) for 2 to 4 weeks rapidly leads to resolution.
杆菌性血管瘤病是一种在人类免疫缺陷病毒感染中新发现的多系统机会性感染。该疾病的特征是丘疹性和结节性血管性皮肤病变,临床上类似于卡波西肉瘤。在组织学上,这些病变有所不同,显示出成群的细菌,经沃辛-斯塔里染色后呈现革兰氏阴性杆菌的结构。透射电子显微镜显示,这些微生物(1至2微米)具有三层壁结构。口服红霉素(每天2至3克)治疗2至4周可迅速使病情缓解。