RT Journal Article T1 Bacillary angiomatosis with atypical clinical presentation in an immunocompetent patient A1 Bernabeu-Wittel, J A1 Luque, R A1 Corbi, R A1 Mantrana-Bermejo, M A1 Navarrete, M A1 Vallejo, A A1 Bernabeu-Wittel, M K1 Bartonella quintana K1 Bartonella henselae K1 Immunocompetent K1 Infecciones por Bartonella K1 Proliferación de la Célula K1 Diagnóstico Diferencial K1 Doxiciclina K1 Endotelio Vascular K1 Huésped Inmunocomprometido K1 Angiomatosis Bacilar AB Bacillary angiomatosis is a recently described infectious disease that usually affects immunosupressed hosts with a previous history of contact with cats. We report a rare case of bacillary angiomatosis in an immunocompetent 59-year-old woman with no history of previous exposure to cats, and atypical clinical features (fever and subcutaneous nodules with ulceration on the left ankle). Histopathology of the lesion showed extensive ulceration and reactive tumor-like vascular proliferation of the blood vessels with swollen endothelial cells and an inflammatory infiltrate including neutrophils and lymphocytes in the dermis and subcutis. Staining with the Warthin-Starry method demonstrated the presence of clustered bacilli located in the extracellular matrix adjacent to the proliferating endothelial cells. Diagnosis was confirmed with the detection of Bartonella spp. DNA in the affected skin and in bone marrow using polymerase chain reaction. PB Medknow Publications SN 0378-6323 YR 2010 FD 2010 LK http://hdl.handle.net/10668/1792 UL http://hdl.handle.net/10668/1792 LA en NO Bernabeu-Wittel J, Luque R, Corbi R, Mantrana-Bermejo M, Navarrete M, Vallejo A, et al. Bacillary angiomatosis with atypical clinical presentation in an immunocompetent patient. Indian J Dermatol Venereol Leprol. 2010; 76(6):682-5 NO Case Reports; Journal Article; DS RISalud RD Apr 11, 2025