Yale University

Initial diagnosis of HIV/AIDS in a 56-year-old man with non-healing forearm lesion.

TitleInitial diagnosis of HIV/AIDS in a 56-year-old man with non-healing forearm lesion.
Publication TypeJournal Article
Year of Publication2013
AuthorsZapata, Heidi J., Merceditas Villanueva, and Sheela Shenoi
JournalBMJ case reports
Volume2013
Date Published2013
ISSN1757-790X
AbstractA 56-year-old Hispanic man with no significant medical problems presented with a 2-month history of a non-healing right forearm lesion that progressed despite several courses of empiric antibiotics. The patient underwent incision and drainage. Warthin-Starry stain with immunohistochemistry testing diagnosed bacillary angiomatosis secondary to Bartonella quintana. Subsequently, the patient was diagnosed with HIV, with a CD4 count of 68 cells/mm(3), and a HIV viral load of 47, 914 copies/mL. The patient was treated with doxycycline and started on antiretroviral therapy. The lesion has resolved and he has had no recurrence after 16 months of treatment.
DOI10.1136/bcr-2013-201184
Alternate JournalBMJ Case Rep

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