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Whipple disease without joint involvement in a patient with chronic diarrhea and HIV seropositive partner: case report

Journal: Journal of Health and Biological Sciences (Vol.6, No. 1)

Publication Date:

Authors : ;

Page : 108-112

Keywords : Whipple’s Disease; Diarrhea. Chronic Disease. Arthritis; Weight Los.;

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Introduction: Whipple's disease is a rare, infectious disease caused by the bacterium Tropheryma whipplei that affects multiple organs and systems. It is difficult to identifyand frequently presents as a diagnosis of exclusion due existence of conditions causing most prevalent chronic diarrhea, as AIDS and Inflammatory Bowel Disease. Case report: Herein we report the clinical findings of a 38-year-old male patient, married with a HIV seropositive woman, with a four-year course of chronic diarrhea until he received a definitive diagnosis. Treatment was started with a 15-day penicillin G regimen, followed by continued trimethoprim–sulfamethoxazole 80/400mg after hospital discharge up to current days. Conclusion: Currently, the patient remains asymptomatic and has completed clinical remission after two years of treatment.

Last modified: 2017-12-16 05:53:19