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

Authors

  • Luis Arthur Brasil Gadelha Farias Universidade Federal do 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

Keywords:

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

Abstract

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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Author Biography

Luis Arthur Brasil Gadelha Farias, Universidade Federal do 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.

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Published

2017-12-13

How to Cite

1.
Farias LABG, Lira ML, Rocha MDG, dos Santos AM, Silva Leitão T do MJ, Girão ES, et al. Whipple disease without joint involvement in a patient with chronic diarrhea and HIV seropositive partner: case report. J Health Biol Sci. [Internet]. 2017 Dec. 13 [cited 2024 Jul. 3];6(1):108-12. Available from: https://periodicos.unichristus.edu.br/jhbs/article/view/1440

Issue

Vol. 6 No. 1 (2018): Journal of Health and Biological Sciences

Section

Case Report

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