An Incidental Finding of Whipple's Disease Masquerading as Nonspecific, Long-Standing Symptoms

被引:0
|
作者
Tuggle, Thomas [1 ,2 ]
Orvin, Alison I. [1 ,3 ]
Caveness, Christian [1 ]
Ingram, Christopher [4 ]
机构
[1] WakeMed Hlth & Hosp, Dept Pharm, 3000 New Bern Ave, Raleigh, NC 27610 USA
[2] Caril Clin, Dept Pharm Serv, 1906 Belleview Ave, Roanoke, VA 24014 USA
[3] Univ North Carolina, Eshelman Sch Pharm, Div Practice Advancement & Clin Educ, 301 Pharm Lane, Chapel Hill, NC 27599 USA
[4] WakeMed Hlth & Hosp, WakeMeds Div Infect Dis, 3000 New Bern Ave, Raleigh, NC 27610 USA
关键词
gastrointestinal infection; incidental finding; <italic>Tropheryma whipplei</italic>; Whipple's disease;
D O I
10.1155/crdi/3177799
中图分类号
R51 [传染病];
学科分类号
100401 ;
摘要
Whipple's disease is a rare bacterial infection that is often present for years prior to diagnosis. Symptoms are nonspecific in the early stages of presentation and are primarily gastrointestinal in nature. The disease may progress with more systemic symptoms including arthralgia, fever, lymphadenopathy, cardiovascular disease, and central nervous system involvement. This case describes a man with a history of long-standing, nonspecific symptoms who only began to show significant improvement after an incidental finding of Whipple's disease. Due to its rare nature, other instances of the disease have likely gone undiagnosed. A brief review of relevant literature is also included.
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页数:4
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