Tropheryma whipplei in Patients with Pneumonia

Tropheryma whipplei is the etiologic pathogenic agent of Whipple disease (WD), characterized by various clinical signs, such as diarrhea, weight loss, lymphadenopathy, and polyarthritis. PCR-based methods for diagnosis of WD have been developed. T. whipplei has been identified in saliva and stool sa...

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Main Authors: Sabri Bousbia, Laurent Papazian, Jean-Pierre Auffray, Florence Fenollar, Claude Martin, Wenjun Li, Laurent Chiche, Bernard La Scola, Didier Raoult
Format: Article
Language:English
Published: Centers for Disease Control and Prevention 2010-02-01
Series:Emerging Infectious Diseases
Subjects:
Online Access:https://wwwnc.cdc.gov/eid/article/16/2/09-0610_article
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author Sabri Bousbia
Laurent Papazian
Jean-Pierre Auffray
Florence Fenollar
Claude Martin
Wenjun Li
Laurent Chiche
Bernard La Scola
Didier Raoult
author_facet Sabri Bousbia
Laurent Papazian
Jean-Pierre Auffray
Florence Fenollar
Claude Martin
Wenjun Li
Laurent Chiche
Bernard La Scola
Didier Raoult
author_sort Sabri Bousbia
collection DOAJ
description Tropheryma whipplei is the etiologic pathogenic agent of Whipple disease (WD), characterized by various clinical signs, such as diarrhea, weight loss, lymphadenopathy, and polyarthritis. PCR-based methods for diagnosis of WD have been developed. T. whipplei has been identified in saliva and stool samples from patients with WD and from healthy persons. T. whipplei DNA has also been found in bronchoalveolar lavage (BAL) samples of a child with pneumonia. We detected DNA of T. whipplei in 6 (3%) of 210 BAL samples collected in intensive care units by using 16S rDNA and specific quantitative PCR. We identified 4 novel genotypes of T. whipplei. In 1 case, T. whipplei was the only bacterium; in 4 others, it was associated with buccal flora. We suggest that T. whipplei should be investigated as an etiologic agent of pneumonia.
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spelling doaj.art-e09b73a56be14f1eb1d9df429dd450cc2022-12-22T01:59:22ZengCenters for Disease Control and PreventionEmerging Infectious Diseases1080-60401080-60592010-02-0116225826310.3201/eid1602.090610Tropheryma whipplei in Patients with PneumoniaSabri BousbiaLaurent PapazianJean-Pierre AuffrayFlorence FenollarClaude MartinWenjun LiLaurent ChicheBernard La ScolaDidier RaoultTropheryma whipplei is the etiologic pathogenic agent of Whipple disease (WD), characterized by various clinical signs, such as diarrhea, weight loss, lymphadenopathy, and polyarthritis. PCR-based methods for diagnosis of WD have been developed. T. whipplei has been identified in saliva and stool samples from patients with WD and from healthy persons. T. whipplei DNA has also been found in bronchoalveolar lavage (BAL) samples of a child with pneumonia. We detected DNA of T. whipplei in 6 (3%) of 210 BAL samples collected in intensive care units by using 16S rDNA and specific quantitative PCR. We identified 4 novel genotypes of T. whipplei. In 1 case, T. whipplei was the only bacterium; in 4 others, it was associated with buccal flora. We suggest that T. whipplei should be investigated as an etiologic agent of pneumonia.https://wwwnc.cdc.gov/eid/article/16/2/09-0610_articleTropheryma whippleiWhipple diseaseWhipple disease diagnosisventilator-associated pneumoniagenotypingbacteria
spellingShingle Sabri Bousbia
Laurent Papazian
Jean-Pierre Auffray
Florence Fenollar
Claude Martin
Wenjun Li
Laurent Chiche
Bernard La Scola
Didier Raoult
Tropheryma whipplei in Patients with Pneumonia
Emerging Infectious Diseases
Tropheryma whipplei
Whipple disease
Whipple disease diagnosis
ventilator-associated pneumonia
genotyping
bacteria
title Tropheryma whipplei in Patients with Pneumonia
title_full Tropheryma whipplei in Patients with Pneumonia
title_fullStr Tropheryma whipplei in Patients with Pneumonia
title_full_unstemmed Tropheryma whipplei in Patients with Pneumonia
title_short Tropheryma whipplei in Patients with Pneumonia
title_sort tropheryma whipplei in patients with pneumonia
topic Tropheryma whipplei
Whipple disease
Whipple disease diagnosis
ventilator-associated pneumonia
genotyping
bacteria
url https://wwwnc.cdc.gov/eid/article/16/2/09-0610_article
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