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
Strokejournal_title
Strokeauthors
Naegeli B,Bannwart F,Bertel Odoi
10.1161/01.str.31.8.2002subject
Has Abstractpub_date
2000-08-01 00:00:00pages
2002-3issue
8eissn
0039-2499issn
1524-4628journal_volume
31pub_type
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