Neurological presentation of Whipple's disease after long-term antibiotic treatment: a case report

<p>Abstract</p> <p>Introduction</p> <p>Whipple's disease is a rare systemic infectious disorder caused by <it>Tropheryma whipplei</it>.</p> <p>Case presentation</p> <p>We report a 68-year-old male with Whipple's disease of t...

Full description

Bibliographic Details
Main Authors: Gundling Felix, Wittenburg Henning, Tannapfel Andrea, Mossner Joachim
Format: Article
Language:English
Published: BMC 2008-06-01
Series:Journal of Medical Case Reports
Online Access:http://www.jmedicalcasereports.com/content/2/1/191
_version_ 1818363420075884544
author Gundling Felix
Wittenburg Henning
Tannapfel Andrea
Mossner Joachim
author_facet Gundling Felix
Wittenburg Henning
Tannapfel Andrea
Mossner Joachim
author_sort Gundling Felix
collection DOAJ
description <p>Abstract</p> <p>Introduction</p> <p>Whipple's disease is a rare systemic infectious disorder caused by <it>Tropheryma whipplei</it>.</p> <p>Case presentation</p> <p>We report a 68-year-old male with Whipple's disease of the central nervous system following long-term antibiotic therapy and many years after the initial clinical onset.</p> <p>Conclusion</p> <p>The combination of trimethoprim and sulphamethoxazole does not prevent or cure involvement of the central nervous system in all patients with Whipple's disease. If relapse of the central nervous system occurs treatment with meropenem might be a useful alternative.</p>
first_indexed 2024-12-13T21:48:11Z
format Article
id doaj.art-fdc980ff00e54dddbbc1f5c7ace4116b
institution Directory Open Access Journal
issn 1752-1947
language English
last_indexed 2024-12-13T21:48:11Z
publishDate 2008-06-01
publisher BMC
record_format Article
series Journal of Medical Case Reports
spelling doaj.art-fdc980ff00e54dddbbc1f5c7ace4116b2022-12-21T23:30:22ZengBMCJournal of Medical Case Reports1752-19472008-06-012119110.1186/1752-1947-2-191Neurological presentation of Whipple's disease after long-term antibiotic treatment: a case reportGundling FelixWittenburg HenningTannapfel AndreaMossner Joachim<p>Abstract</p> <p>Introduction</p> <p>Whipple's disease is a rare systemic infectious disorder caused by <it>Tropheryma whipplei</it>.</p> <p>Case presentation</p> <p>We report a 68-year-old male with Whipple's disease of the central nervous system following long-term antibiotic therapy and many years after the initial clinical onset.</p> <p>Conclusion</p> <p>The combination of trimethoprim and sulphamethoxazole does not prevent or cure involvement of the central nervous system in all patients with Whipple's disease. If relapse of the central nervous system occurs treatment with meropenem might be a useful alternative.</p>http://www.jmedicalcasereports.com/content/2/1/191
spellingShingle Gundling Felix
Wittenburg Henning
Tannapfel Andrea
Mossner Joachim
Neurological presentation of Whipple's disease after long-term antibiotic treatment: a case report
Journal of Medical Case Reports
title Neurological presentation of Whipple's disease after long-term antibiotic treatment: a case report
title_full Neurological presentation of Whipple's disease after long-term antibiotic treatment: a case report
title_fullStr Neurological presentation of Whipple's disease after long-term antibiotic treatment: a case report
title_full_unstemmed Neurological presentation of Whipple's disease after long-term antibiotic treatment: a case report
title_short Neurological presentation of Whipple's disease after long-term antibiotic treatment: a case report
title_sort neurological presentation of whipple s disease after long term antibiotic treatment a case report
url http://www.jmedicalcasereports.com/content/2/1/191
work_keys_str_mv AT gundlingfelix neurologicalpresentationofwhipplesdiseaseafterlongtermantibiotictreatmentacasereport
AT wittenburghenning neurologicalpresentationofwhipplesdiseaseafterlongtermantibiotictreatmentacasereport
AT tannapfelandrea neurologicalpresentationofwhipplesdiseaseafterlongtermantibiotictreatmentacasereport
AT mossnerjoachim neurologicalpresentationofwhipplesdiseaseafterlongtermantibiotictreatmentacasereport