Nikolas Ruffer, Marie-Therese Holzer, Yannik Gkanatsas, Izabela Schinglerová, Damir Boro, Martin Krusche, Ina Kötter
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引用次数: 2
Abstract
Background: Refractory arthritis is a common problem in routine rheumatology practice, and can be a diagnostic challenge. In these cases, chronic Tropheryma whipplei (T. whipplei) infection is an important differential diagnosis that should be considered.
Objective: Based on five clinical cases, this case-based review describes the diagnostic and therapeutic principles in the management of chronic T. whipplei infection.
Results: Whipple's disease is a multisystemic infectious disease caused by the bacterium T. whipplei. The disease typically manifests with arthralgia, weight loss and diarrhoea. Joint involvement often develops years before gastrointestinal symptoms occur. In addition to systemic manifestations ("classic Whipple's disease"), T. whipplei can also lead to localized joint infections without gastrointestinal involvement. Articular manifestations of systemic and localized T. whipplei infections are commonly misdiagnosed as a sign of various forms of autoimmmune arthritis.
Discussion: Whipple's disease and localized T. whipplei joint infection should be considered in the diagnostic work-up of refractory arthritis. Synovial fluid analysis by means of specific polymerase chain reaction-based testing for T. whipplei is diagnostically ground-breaking.
期刊介绍:
IBIS publishes original papers, reviews, short communications and forum articles reflecting the forefront of international research activity in ornithological science, with special emphasis on the behaviour, ecology, evolution and conservation of birds. IBIS aims to publish as rapidly as is consistent with the requirements of peer-review and normal publishing constraints.