10.11.07
Bacillary Angiomatosis Treatment
Bacillary angiomatosis (BA) is the vascular aggrandize form of infection with Bartonella organisms. It is because of bacterial infection with Bartonella quintana and Bartonella henselae Bacillary angiomatosis may affect almost any organ system, though it most commonly affects skin and subcutaneous tissue. B quintana can also cause bacteremia, urban trench fever, and endocarditis in immunocompetent persons.
It is related with lytic bone lesions. Peliosis hepatis and lymph node involvement are linked with B henselae. Nearly 90% of US patients with bacillary angiomatosis are men, probably due to disproportionate number of patients infected with HIV also are men. Skin lesions are nodular and red or purplish in color, and may ultimately ulcerate and drain.
BA may also affect other parts of the body, such as the brain, bone, bone marrow, lymph nodes, gastrointestinal tract, respiratory tract, spleen and liver. Bacillary angiomatosis is so featuristic today of aids that it is an AIDS defining disease. A broad age range exists, with infants to elderly people affected.
Symptoms differ depending on which parts of the body are affected; for example, those whose livers are affected may have an enlarged liver and fever. Treatment is generally given until the lesions disappear, which typically takes three or four weeks. It can be simply treated with antibiotics such as erythromycin and doxycycline.
Prompt antibiotic treatment in patients with AIDS cured the infection by either types of the bacteria. Cryotherapy, electrodesiccation and curettage, and surgical assizion of solitary cutaneous lesions can be useful as adjunctive therapy. Supportive therapy involves hydration and analgesics for pain and fever. Warm damp compresses to affected nodes may decrease swelling and tenderness.
Other oral antibiotics and antituberculosis drugs, including tetracycline, trimethoprim-sulfamethoxazole, and rifampin, may also be helpful. Another easily treatment with antibiotics such as erythromycin and doxycycline. Treatment is given till the skin lesions resolve, usually in 3 to 4 weeks. If the infection is severe, then a bactericidal medication can be combined with the antibiotics.
Bacillary Angiomatosis - Prevention and Treatment Tips
1. Acetaminophen (Tylenol) may ease pain, aches, and fever.
2. Doxycycline can also be taken to reduce angiomatosis.
3. Large pus-filled lymph nodes or blisters may require to be drained.
4. Supportive therapy involves hydration and analgesics for pain and fever.
5. Other oral antibiotics and antituberculosis drugs, including tetracycline, trimethoprim-sulfamethoxazole, and rifampin.
6. Erythromycin appears to be the antibiotic of choice and is given till lesions resolve.