To the Editor: Whipple's disease is an infection that affectsprimarily the intestine, but some cases involve the heart valve,the peripheral lymph nodes, the joints, and the central nervoussystem.1 Recently, the establishment of Tropheryma whipplei(formerly T. whippelii, the causative agent of Whipple's disease)2in culture allowed the generation of antibodies against thebacterium3 that we used for immunostaining the valve2 or duodenalspecimen3 of infected patients. Here, we report the immunodetectionof T. whipplei in the circulating monocytes of a patient withuntreated Whipple's disease.
A 70-year-old man was hospitalized in December 2000 for fatigue,weight loss, . . . [Full Text of this Article]
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