Whipple's disease, a rare cause of diarrhea

Authors

  • Eduardo Crespo Ramirez "Universidad Medica de Pinar del Rio"
  • Agustín Lemus Saracino Hospital General Docente "Abel Santamaría Cuadrado". Pinar del Río. Cuba
  • Surama Gonzáles Pérez Hospital General Docente Abel Santamaría Cuadrado. Pinar del Río. Cuba

Keywords:

WHIPPLE’S DISEASE, MALABSORPTION, TROPHERYMA, INTESTINAL LIPODYSTROPHY.

Abstract

Introduction: Whipple's disease is a very rare infectious, multisystemic condition that affects the gastrointestinal tract and especially the small intestine.

Case report: a 53-year-old white female patient presented to the gastroenterology clinic at Abel Santamaría Cuadrado General Teaching Hospital, referred from her health area, for presenting a chronic diarrheal syndrome without extra-intestinal manifestations, making the diagnosis difficult, that along with the histopathological findings, allowed reaching to the diagnosis.

 

Conclusion: Whipple's disease is a chronic infection caused by a bacterium of the genus Actninomyces, Tropheryma whippelii, which is very difficult to cultivate and the diagnosis of certainty is currently reached by the histopathological study of serial biopsies of the digestive tract. Antibiotic therapy for a long time is the treatment.

 

 

 

 

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Author Biographies

Eduardo Crespo Ramirez, "Universidad Medica de Pinar del Rio"

Graduado de Medico Julio 1992

Especialista de MGI Diciembre 1996

Especialista de Primer Grado en Gastroenterologia  Noviembre 2007

Departamento de gastroenterologia del Hospital General Docente Abel Satamaria

Agustín Lemus Saracino, Hospital General Docente "Abel Santamaría Cuadrado". Pinar del Río. Cuba

Médico. Especialista de Segundo Grado en Anatomía Patológica. Máster en   Longevidad Satisfactoria. Profesor Auxiliar.

Surama Gonzáles Pérez, Hospital General Docente Abel Santamaría Cuadrado. Pinar del Río. Cuba

Médica. Especialista de Primer Grado en Medicina General Integral y Gastroenterología. Profesor Auxiliar.

References

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Published

2017-06-01

How to Cite

1.
Crespo Ramirez E, Lemus Saracino A, Gonzáles Pérez S. Whipple’s disease, a rare cause of diarrhea. Rev Ciencias Médicas [Internet]. 2017 Jun. 1 [cited 2025 Oct. 15];21(3):433-7. Available from: https://revcmpinar.sld.cu/index.php/publicaciones/article/view/2993

Issue

Section

CASE REPORTS