Abdominal lymphomas, convulsive seizure and coma: A case of successfully treated, advanced Whipple's disease with cerebral involvement

European Journal of Gastroenterology and Hepatology

Volumn 10, Issue 10, 1998, Pages 893-895

  Mohm, Johannes ^a   Naumann, Ralph ^a   Schuler, Ulrich ^a   Ehninger, Gerhard ^a  

^a UNIVERSITY HOSPITAL CARL GUSTAV CARUS   (Germany)

Author keywords

Abdominal lymphomas; Coma; Cotrimoxazole; Infection; Whipple's disease

Indexed keywords

COTRIMOXAZOLE; SULFAMETHIZOLE; TRIMETHOPRIM;

ADULT; ARTICLE; CACHEXIA; CASE REPORT; CEREBROSPINAL FLUID; CLINICAL FEATURE; COMA; DRUG COMBINATION; DUODENOSCOPY; DUODENUM BIOPSY; FEMALE; HUMAN; INFLAMMATION; INTESTINE LIPODYSTROPHY; INTRAVENOUS DRUG ADMINISTRATION; LYMPH NODE BIOPSY; LYMPHOMA; PRIORITY JOURNAL; SEIZURE; TROPHERYMA WHIPPELII;

EID: 0031726041     PISSN: 0954691X     EISSN: None     Source Type: Journal    
DOI: 10.1097/00042737-199810000-00015     Document Type: Article

References (10)

1. Relman DA, Schmidt TM, MacDermort RP, Falkow S. Identification of the uncultured bacillus of Whipple's disease. N Engl J Med 1992; 327:293-301.
2. Wilson KH, Blitchington R, Frothingham R, Wilson JA. Phylogeny of the Whipple's-disease-associated bacterium. Lancet 1991; 338:474-475.
3. Trier JS. Whipple's disease. In Sleisenger, MH, Fordtran, JS, editors. Gastrointestinal disease. 5th edn. Philadelphia: Saunders; 1993. pp. 1118-1127.
4. von Herbay A, Ditton HJ, Maiwald M. Diagnostic application of a polymerase chain reaction assay for the Whipple's disease bacterium to intestinal biopsies. Gastroenterology 1996; 110:1735-1743.
5. Feurle GE, Marth T. An evaluation of antimicrobial treatment for Whipple's disease. Tetracycline versus trimethoprim-sulfamethoxazole. Dig Dis Sci 1994; 39:1642-1648.
6. Keinath RD, Merrell DE, Vliestra R, Dobbins WO. Antibiotic treatment and relapse in Whipple's disease. Gastroenterology 1985; 88:1867-1873.
7. Fleming JL, Wiesner RH, Shorter RG. Whipple's disease: clinical, biochemical and histopathologic features and assessment of treatment in 29 patients. Mayo Clin Proc 1988; 63:539-551.
8. Marth T, Roux M, von Herbay A, Meuer S, Feurle G. Persistent reduction of complement receptor 3α-chain expressing mononuclear blood cells and transient serum factors in Whipple's disease. Clin Immunol Immunopathol 1994; 72:217-226.
9. Eerdekens MW, Nouwen EJ, Pollet DE, Briers TW, de Broe M. Placental alkaline phosphatase and cancer antigen 125 in sera of patients with benign and malignant disease. Clin Chem 1985; 31:687.
10. Cooper GS, Blades EW, Remler BF, Salata RA, Bennert KW, Jacobs GH. Central nervous system Whipple's disease: relapse during therapy with trimethoprim-sulfamethoxazole and remission with cefixime. Gastroenterology 1994; 106:782-786.