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Informed consent of the patient was obtained for publication of the case. Bacillary angiomatosis BA is an angioproliferative disease of immunocompromised patients that usually presents as vascular tumors in the skin and subcutaneous tissues. It is caused by chronic infections with either Bartonella henselae or B. Oral cavity BA is exceedingly rare and even rarer without simultaneous cutaneous disease. We report herein the case of a year-old HIV-infected man who presented severe odynophagia and an eroded lesion on the hard palate that progressed to an oronasal fistula. No cutaneous lesions were recorded. Doxycycline led to complete resolution.