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Provedor de dados:  BJID
País:  Brazil
Título:  Tumoural form of Whipple's disease simulating carcinomatosis
Autores:  Costa,Jamille Hemétrio Salles Martins
Maciel,Aline Bussinger
Godinho,Matheus de Navarro Guimarães
Paula,Rafaela Brito de
Gotardelo,Daniel Riani
Data:  2014-06-01
Ano:  2014
Palavras-chave:  Whipple's disease
Tropheryma whipplei
Carcinomatosis
Resumo:  Whipple's disease is a rare disease caused by the actinomycete bacteria Tropheryma whipplei, which cause intestinal infection. The most common symptoms are chronic diarrhoea, weight loss, abdominal pain, arthritis and neurological abnormalities, which can be fatal. This paper reports a case of a 57-year-old Brazilian woman with diarrhoea, vomiting, abdominal pain, appetite loss, intermittent fever, malaise, weight loss and malnutrition. Migratory polyarthralgia and recurrent visual scotomas preceded the symptoms. The retroperitoneal pseudotumour formation finding was associated with prolonged wasting syndrome, which did not respond to usual therapies, thus leading to the investigation of carcinomatosis disease. After laparotomy, biopsy and histochemical study of the lesions with negative results for malignancy, we proceeded to the investigation of Whipple's disease, which was then confirmed. The patient improved clinically and started gaining weight after using ceftriaxone (IV).
Tipo:  Info:eu-repo/semantics/report
Idioma:  Inglês
Identificador:  http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1413-86702014000300346
Editor:  Brazilian Society of Infectious Diseases
Relação:  10.1016/j.bjid.2014.01.006
Formato:  text/html
Fonte:  Brazilian Journal of Infectious Diseases v.18 n.3 2014
Direitos:  info:eu-repo/semantics/openAccess
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