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Open Access Case report

Bartonella quintana coinfection with Mycobacterium avium complex and CMV in an AIDS patient: case presentation

Clarisse Rovery1, Jean Marc Rolain2, Hubert Lepidi2, Christine Zandotti3, Jacques Moreau1 and Philippe Brouqui12*

Author Affiliations

1 Service de maladies infectieuses et de médecine tropicale, hôpital Nord, APHM, Marseille, France

2 Unité des Rickettsies, IFR 48, CNRS UMR 6020, Université de la Méditerranée, Faculté de médecine, Marseille, France

3 Laboratoire de Microbiologie, Hôpital de la Timone, APHM, Marseille, France

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BMC Infectious Diseases 2006, 6:89  doi:10.1186/1471-2334-6-89

Published: 29 May 2006

Abstract

Background

As a greater number of HIV-infected patients survive despite profound immunodepression due to medical progress, we face complex infection with multiple agents in AIDS-patients.

Case presentation

We report the case of an AIDS patient with a primary clinical presentation suggestive of bacillary angiomatosis. We also found in cutaneous lesions Mycobacterium avium complex and cytomegalovirus.

Conclusion

This clinical case illustrates the possibility of multiple coinfections in AIDS patients and the need to be exhaustive in evaluating infectious diseases in severely immunocompromised patients.