A man with prior AIDS developed acute febrile interstitial pneumonitis
, hilar and paratracheal adenopathy, and bronchial polyps. The polyps
were histologically typical for bacillary angiomatosis and complete sy
mptomatic and radiographic response to oral clarithromycin was seen. T
he clinical presentation of bacillary angiomatosis includes pulmonary
disease and in particular bronchial polyps; clarithromycin is an effec
tive oral antibiotic.