A systematic review on antibiotic therapy of cutaneous bacillary angiomatosis not related to major immunocompromising conditions : from pathogenesis to treatment

© 2024. The Author(s)..

BACKGROUND: Cutaneous bacillary angiomatosis (cBA) is a vascular proliferative disorder due to Bartonella spp. that mostly affects people living with HIV (PLWH), transplanted patients and those taking immunosuppressive drugs. Since cBA is mostly related to these major immunocompromising conditions (i.e., T-cell count impairment), it is considered rare in relatively immunocompetent patients and could be underdiagnosed in them. Moreover, antimicrobial treatment in this population has not been previously investigated.

METHODS: We searched the databases PubMed, Google Scholar, Scopus, OpenAIRE and ScienceDirect by screening articles whose title included the keywords "bacillary" AND "angiomatosis" and included case reports about patients not suffering from major immunocompromising conditions to provide insights about antibiotic treatments and their duration.

RESULTS: Twenty-two cases of cBA not related to major immunocompromising conditions were retrieved. Antibiotic treatment duration was shorter in patients with single cBA lesion than in patients with multiple lesions, including in most cases macrolides and tetracyclines.

CONCLUSIONS: cBA is an emerging manifestation of Bartonella spp. infection in people not suffering from major immunocompromising conditions. Until evidence-based guidelines are available, molecular tests together with severity and extension of the disease can be useful to personalize the type of treatment and its duration.

Medienart:

E-Artikel

Erscheinungsjahr:

2024

Erschienen:

2024

Enthalten in:

Zur Gesamtaufnahme - volume:24

Enthalten in:

BMC infectious diseases - 24(2024), 1 vom: 08. Apr., Seite 380

Sprache:

Englisch

Beteiligte Personen:

Rotundo, Salvatore [VerfasserIn]
Tassone, Maria Teresa [VerfasserIn]
Marascio, Nadia [VerfasserIn]
Morrone, Helen Linda [VerfasserIn]
Gigliotti, Simona [VerfasserIn]
Quirino, Angela [VerfasserIn]
Russo, Alessandro [VerfasserIn]
Matera, Giovanni [VerfasserIn]
Trecarichi, Enrico Maria [VerfasserIn]
Torti, Carlo [VerfasserIn]

Links:

Volltext

Themen:

Anti-Bacterial Agents
Antibiotic
Bacillary angiomatosis
Bartonella
Emerging disease
One health
PCR
Systematic Review

Anmerkungen:

Date Completed 10.04.2024

Date Revised 11.04.2024

published: Electronic

Citation Status MEDLINE

doi:

10.1186/s12879-024-09253-9

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM370791428