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

Autores

  • Luis Arthur Brasil Gadelha Farias Faculty of Medicine, Federal University of Ceará (UFC)
  • Mateus Lavor Lira Universidade Federal do Ceará (UFC)
  • Matheus Dias Girão Rocha Universidade Federal do Ceará (UFC)
  • Alessandra Marques dos Santos Hospital Universitário Walter Cantídio/ Universidade Federal do Ceará (UFC)
  • Terezinha do Menino Jesus Silva Leitão Universidade Federal do Ceará (UFC)
  • Evelyne Santana Girão Hospital São José de Doenças Infecciosas do Estado do Ceará (HSJ)
  • Jorge Luiz Nobre Rodrigues Universidade Federal do Ceará (UFC)

DOI:

https://doi.org/10.12662/2317-3076jhbs.v6i1.1440.p108-112.2018

Palavras-chave:

Whipple’s Disease, Diarrhea, Chronic Disease, Arthritis, Weight Loss

Resumo

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.

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Biografia do Autor

Luis Arthur Brasil Gadelha Farias, Faculty of Medicine, Federal University of Ceará (UFC)

Graduando em Medicina pela Universidade Federal do Ceará (UFC), com previsão de conclusão em 2019. Atualmente, encontra-se vinculado à IFMSA- Brazil, onde exerce a função de LVPE- Local Vice- President for external affairs no comitê UFC-Fortaleza. É monitor de Parasitologia Médica na Universidade Federal do Ceará e Membro ativo da Liga de Estudos e Ações em Doenças Infecciosas - LEDI.

Publicado

2017-12-13