Uveitis Caused by Tropheryma whippelii (Whipple's Bacillus)
Leland S. Rickman, M.D., William R. Freeman, M.D., W. Richard Green, M.D., Sandy T. Feldman, M.D., Janet Sullivan, M.S., Valentina Russack, M.D., and David A. Relman, M.D.
Since this article has no abstract, we have provided an extract of the first 100 words of the full text and any section headings.
Whipple's disease is a multisystem bacterial disease usuallycharacterized by malabsorption, diarrhea, and polyarthritis.Ocular manifestations of Whipple's disease include blurred visionor visual loss with one or more of the following findings: vitritis,uveitis, retinitis, retinal hemorrhage, choroiditis, papilledema,optic atrophy, and keratitis.1 In general, these ocular manifestationsoccur in patients who also have gastrointestinal or centralnervous system involvement.
We report a case of chronic, bilateral uveitis with unusualophthalmologic features. The patient had no clinical evidenceof gastrointestinal disease, and light microscopy of repeatedduodenal-biopsy specimens was negative. A preliminary diagnosisof Whipple's disease was made on . . . [Full Text of this Article]
Case Report
Methods
Electron Microscopy
PCR Analysis
Results
Discussion
Source Information
From the Division of Infectious Diseases, Epidemiology Unit, and the Department of Internal Medicine (L.S.R.), the Department of Ophthalmology (W.R.F., S.T.F.), and the Department of Pathology (V.R.), University of California, San Diego; Johns Hopkins University, Baltimore (W.R.G.); and the Departments of Medicine and Microbiology and Immunology, Stanford University, Stanford, Calif., and the Veterans Affairs Medical Center, Palo Alto, Calif. (J.S., D.A.R.).
Address reprint requests to Dr. Rickman at the University of California, San Diego, Medical Center, 200 W. Arbor Dr., San Diego, CA 92103-8951.
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