ما هو العلاج لداء الأوعية الدموية العصوي؟

References

• Erythromycin and doxycycline have been used successfully to treat BA, peliosis hepatis, bacteremia, and osteomyelitis; either drug is considered first-line treatment for bartonellosis on the basis of reported experience in case series (AII).
• Therapy should be administered for at least 3 months (AII).
• Anecdotal and limited published case reports suggest that other macrolide antibiotics (such as azithromycin or clarithromycin) are effective in treating Bartonella infections in patients with HIV and may be better tolerated than erythromycin; either of these can be an alternative therapy for Bartonella infections (except for endocarditis or central nervous system [CNS] infections) (BIII).
• For patients with positive or increasing antibody titers, but with clinical improvement, treatment should continue until at least a fourfold decrease in the antibody titers is documented (CIII).