Whipple's disease: A case report

Introduction. Whipple's disease is a chronic, multisystem, infectious disease caused by Tropheryma whipplei. It most commonly affects Caucasian males, middle-aged. Morbus Whipple is primarily gastrointestinal disease, manifested as malabsorption syndrome, and diagnosed by endoscopy and intes...

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Main Authors: Popović Dušan Đ., Špuran Milan, Jovanović Ivan, Alempijević Tamara, Đuranović Srđan, Kovačević Nada, Micev Marjan, Krstić Miodrag
Format: Article
Language:English
Published: Ministry of Defence of the Republic of Serbia, University of Defence, Belgrade 2012-01-01
Series:Vojnosanitetski Pregled
Subjects:
Online Access:http://www.doiserbia.nb.rs/img/doi/0042-8450/2012/0042-84501206522P.pdf
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author Popović Dušan Đ.
Špuran Milan
Jovanović Ivan
Alempijević Tamara
Đuranović Srđan
Kovačević Nada
Micev Marjan
Krstić Miodrag
author_facet Popović Dušan Đ.
Špuran Milan
Jovanović Ivan
Alempijević Tamara
Đuranović Srđan
Kovačević Nada
Micev Marjan
Krstić Miodrag
author_sort Popović Dušan Đ.
collection DOAJ
description Introduction. Whipple's disease is a chronic, multisystem, infectious disease caused by Tropheryma whipplei. It most commonly affects Caucasian males, middle-aged. Morbus Whipple is primarily gastrointestinal disease, manifested as malabsorption syndrome, and diagnosed by endoscopy and intestinal biopsy. Extraintestinal manifestations are not rare. Case report. A 48-year-old male was admitted due to diarrhea, weight loss and weakness in the extremities. Physical examination findings pointed out diffuse hyperpigmentation, pleural effusion and leg edema. Anemia, inflammatory syndrome and malabsorption signs were discovered through laboratory tests. The diagnosis was confirmed by intestinal biopsy. The patient was treated with antibiotic and symptomatic therapy. After 9 months, the patient had no symptoms, and clinical and laboratory findings were regular. Conclusion. Whipple's disease is a rare disease. A high degree of clinical suspicion for the disease (malabsorption, arthritis, fever, neurological symptoms) is the most important for diagnosis. Timely diagnosis and appropriate therapy prevent the disease progression and fatal outcome.
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issn 0042-8450
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publishDate 2012-01-01
publisher Ministry of Defence of the Republic of Serbia, University of Defence, Belgrade
record_format Article
series Vojnosanitetski Pregled
spelling doaj-art-5b36d3a100814d77b0ba65d365fbf02c2025-08-20T01:57:32ZengMinistry of Defence of the Republic of Serbia, University of Defence, BelgradeVojnosanitetski Pregled0042-84502012-01-0169652252510.2298/VSP1206522PWhipple's disease: A case reportPopović Dušan Đ.Špuran MilanJovanović IvanAlempijević TamaraĐuranović SrđanKovačević NadaMicev MarjanKrstić MiodragIntroduction. Whipple's disease is a chronic, multisystem, infectious disease caused by Tropheryma whipplei. It most commonly affects Caucasian males, middle-aged. Morbus Whipple is primarily gastrointestinal disease, manifested as malabsorption syndrome, and diagnosed by endoscopy and intestinal biopsy. Extraintestinal manifestations are not rare. Case report. A 48-year-old male was admitted due to diarrhea, weight loss and weakness in the extremities. Physical examination findings pointed out diffuse hyperpigmentation, pleural effusion and leg edema. Anemia, inflammatory syndrome and malabsorption signs were discovered through laboratory tests. The diagnosis was confirmed by intestinal biopsy. The patient was treated with antibiotic and symptomatic therapy. After 9 months, the patient had no symptoms, and clinical and laboratory findings were regular. Conclusion. Whipple's disease is a rare disease. A high degree of clinical suspicion for the disease (malabsorption, arthritis, fever, neurological symptoms) is the most important for diagnosis. Timely diagnosis and appropriate therapy prevent the disease progression and fatal outcome.http://www.doiserbia.nb.rs/img/doi/0042-8450/2012/0042-84501206522P.pdfwhiplle diseasediagnosismalabsorption syndromesanemiabiopsyintestine, smalltreatment outcome
spellingShingle Popović Dušan Đ.
Špuran Milan
Jovanović Ivan
Alempijević Tamara
Đuranović Srđan
Kovačević Nada
Micev Marjan
Krstić Miodrag
Whipple's disease: A case report
Vojnosanitetski Pregled
whiplle disease
diagnosis
malabsorption syndromes
anemia
biopsy
intestine, small
treatment outcome
title Whipple's disease: A case report
title_full Whipple's disease: A case report
title_fullStr Whipple's disease: A case report
title_full_unstemmed Whipple's disease: A case report
title_short Whipple's disease: A case report
title_sort whipple s disease a case report
topic whiplle disease
diagnosis
malabsorption syndromes
anemia
biopsy
intestine, small
treatment outcome
url http://www.doiserbia.nb.rs/img/doi/0042-8450/2012/0042-84501206522P.pdf
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AT spuranmilan whipplesdiseaseacasereport
AT jovanovicivan whipplesdiseaseacasereport
AT alempijevictamara whipplesdiseaseacasereport
AT đuranovicsrđan whipplesdiseaseacasereport
AT kovacevicnada whipplesdiseaseacasereport
AT micevmarjan whipplesdiseaseacasereport
AT krsticmiodrag whipplesdiseaseacasereport