Abstract
We describe a 54-year-old man with X-linked agammaglobulinemia (XLA) and Helicobacter cinaedi bacteremia, who presented with tender, hyper-pigmented skin macules without increased local warmth or fever. We propose that this presentation may be a characteristic early sign of bacteremia caused by H. cinaedi and related organisms in otherwise healthy immunocompromised patients. This case demonstrates the importance of a high index of suspicion for H. cinaedi bacteremia in immunocompromised patients with unexplained skin lesions.
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Simons, E., Spacek, L.A., Lederman, H.M. et al. Helicobacter cinaedi Bacteremia Presenting as Macules in an Afebrile Patient with X-Linked Agammaglobulinemia. Infection 32, 367–368 (2004). https://doi.org/10.1007/s15010-004-3152-7
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DOI: https://doi.org/10.1007/s15010-004-3152-7