PMID- 28393665 OWN - NLM STAT- MEDLINE DCOM- 20180430 LR - 20181113 IS - 2325-9582 (Electronic) IS - 2325-9574 (Print) IS - 2325-9574 (Linking) VI - 16 IP - 4 DP - 2017 Jul/Aug TI - The First Report of Bartonella quintana Immune Reconstitution Inflammatory Syndrome Complicated by Jarisch-Herxheimer Reaction. PG - 321-323 LID - 10.1177/2325957417702484 [doi] AB - Bacillary angiomatosis (BA) is a rare complication of human immune deficiency virus (HIV) infection in the post-antiretroviral therapy (ART) era, and few cases of BA-associated immune reconstitution inflammatory syndrome (IRIS) have been described. We report the case of a 50-year-old man who presented with mass lesions involving the skin, subcutaneous tissues, muscle, and bone. The diagnosis of Bartonella quintana BA was confirmed by serum polymerase chain reaction. The patient's treatment course was complicated by both IRIS and Jarisch-Herxheimer reaction. The case had a favorable outcome with supportive care and continuation of ART and doxycycline. FAU - DallaPiazza, Michelle AU - DallaPiazza M AD - 1 Division of Infectious Diseases, Department of Medicine, Rutgers New Jersey Medical School, Newark, NJ, USA. FAU - Akiyama, Matthew Jiro AU - Akiyama MJ AD - 2 Divisions of General Internal Medicine and Infectious Diseases, Department of Medicine, Albert Einstein College of Medicine, Bronx, NY, USA. LA - eng GR - K99 DA043011/DA/NIDA NIH HHS/United States PT - Case Reports PT - Journal Article DEP - 20170410 PL - United States TA - J Int Assoc Provid AIDS Care JT - Journal of the International Association of Providers of AIDS Care JID - 101603896 RN - 0 (Anti-Bacterial Agents) RN - 0 (Anti-HIV Agents) SB - IM MH - Anti-Bacterial Agents/therapeutic use MH - Anti-HIV Agents/therapeutic use MH - *Bartonella quintana MH - HIV Infections/*complications/drug therapy MH - Humans MH - Immune Reconstitution Inflammatory Syndrome/*microbiology MH - Male MH - Middle Aged MH - Trench Fever/*complications/drug therapy PMC - PMC6025798 MID - NIHMS976419 OTO - NOTNLM OT - Bartonella quintana OT - HIV OT - Jarisch-Herxheimer reaction OT - bacillary angiomatosis OT - immune reconstitution inflammatory syndrome COIS- Declaration of Conflicting Interests The author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article. EDAT- 2017/04/11 06:00 MHDA- 2018/05/01 06:00 PMCR- 2018/06/29 CRDT- 2017/04/11 06:00 PHST- 2017/04/11 06:00 [pubmed] PHST- 2018/05/01 06:00 [medline] PHST- 2017/04/11 06:00 [entrez] PHST- 2018/06/29 00:00 [pmc-release] AID - 10.1177/2325957417702484 [doi] PST - ppublish SO - J Int Assoc Provid AIDS Care. 2017 Jul/Aug;16(4):321-323. doi: 10.1177/2325957417702484. Epub 2017 Apr 10.