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Richard M. Tucker, MD; David M. Bray, MD
Wenatchee (Wash) Valley Clinic

Carol A. Kemper, MD
Stanford (Calif) University

JAMA. 1991;266(14):1939.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

To the Editor.

—Dr Holley¹ has reported apparent successful treatment of CSD, typically a self-limited syndrome, with orally administered ciprofloxacin. The purported causal agent of CSD was first visualized in the lymph nodes of patients with the classic clinical syndrome in 1983.² A similar or related organism has been visualized in the cutaneous and disseminated lesions of epithelioid angiomatosis in patients with HIV infection and the acquired immunodeficiency syndrome.³ Although the staining characteristics and morphologic features of the two organisms are similar, the relatedness of these organisms has yet to be determined and their antibiotic susceptibility profiles may differ. We report the occurrence of epithelioid angiomatosis despite recent prolonged therapy with orally administered ciprofloxacin.

Report of a Case.

—The patient, a 37-year-old homosexual white man with HIV infection, had a 3-month history of fever, weight loss, splenomegaly, and pancytopenia. A recent CD4 count was less than 10/mm³ . . . [Full Text PDF of this Article]

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