An uncommon cause of recurrent strokes: Tropheryma whippelii endocarditis.

Abstract:

BACKGROUND:Cardiac involvement in Whipple's disease is not an uncommon phenomenon in autopsies, but its clinical occurrence is often overshadowed by gastrointestinal symptoms. We report a very atypical manifestation of this disorder. SUMMARY OF REPORT:An extraordinary presentation of an extremely long-lasting, culture-negative endocarditis caused by Tropheryma whippelii is described, the clinical consequence of which has become apparent in recurrent strokes. CONCLUSIONS:Cardiac involvement of Whipple's disease should always be considered in culture and serologically negative endocarditis. The polymerase chain reaction technique may be a useful tool to confirm a presumed diagnosis of T whippelii endocarditis and consequently to apply an effective treatment regimen.

journal_name

Stroke

journal_title

Stroke

authors

Naegeli B,Bannwart F,Bertel O

doi

10.1161/01.str.31.8.2002

subject

Has Abstract

pub_date

2000-08-01 00:00:00

pages

2002-3

issue

8

eissn

0039-2499

issn

1524-4628

journal_volume

31

pub_type

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