BACILLARY ANGIOMATOSIS IN AN IMMUNOCOMPETENT CHILD

Bacillary angiomatosis (BA) is a pathologic process characterized by p rominent vascular proliferation secondary to organisms of the genus Ro chalimaea. BA has been most commonly associated with HIV-1+ patients, but has also been reported rarely in other immune-suppressed patients and in a small group of patients with no demonstrated immune suppressi on. Even in immune-suppressed children, BA is extremely rare. We repor t a 5-year-old girl with no apparent immune suppression and no risk fa ctors for HIV-1+ disease, who presented with a skin lesion that histop athologically was diagnostic of BA.