Article ID | Journal | Published Year | Pages | File Type |
---|---|---|---|---|
10138059 | International Journal of Infectious Diseases | 2018 | 10 Pages |
Abstract
Whipple's disease (WD) is a rare chronic and systemic infection caused by the ubiquitous actinomycete Tropheryma whipplei. A case of localized infection with mesenteric adenopathy associated with a prolonged unexplained fever is reported herein. Screening by PCR on saliva and stool was positive, and T. whipplei was formally identified by specific PCR on duodenal and mesenteric adenopathy biopsies. Histological analysis did not demonstrate periodic acid-Schiff-positive macrophages or positive T. whipplei immunochemistry in either the duodenal mucosa or mesenteric nodes. Treatment with hydroxychloroquine and doxycycline allowed a rapid resolution of symptoms, and subsequent saliva and stool PCR results were negative.
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Authors
Lucie Wartique, Jean-Christophe Lagier, Didier Raoult, Yvan Jamilloux, Pascal Sève,