Clinical history

45-year-old italian woman-HIV negative
Chronic glomerular disease, renal graft in 1985
In 1987: tubo-ovarian abcess
March 2005: fall, chest X-ray
Left rib fracture +?
Clinical examination: negative
MDCT

Radiological images

Radiological findings

CT images

CT findings

Extraexaminations

Additional data: The mass was surgically removed via a right lateral thoracotomy.
Histological examination revealed angiomatous proliferation composed of small vascular structures delineated by endothelial cells.
Whartin-Starry staining revealed few microorganisms consistent with the presence of Bartonella.

Requirements

Bacillary angiomatosis in a kidney transplant recipient.

Bacillary angiomatosis (BA):
It can affect organs such as the heart, the abdominal viscera, the nervous system and can develop on mucosal or endobronchial surfaces.
The diagnosis is often difficult.
The treatment is antibiotherapy (erythromycin).
Is an opportunistic infection caused by gram negative bacillus, that belongs to the genus Bartonella.
BA cause proliferation of small blood vessels in the skin or viscera.
BA was initially described in HIV patients.
The visceral form of BA is manifested by systemic symptoms: fever, night sweats, anorexia…

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