Cardiac Whipple disease: Identification of whipple Bacillus by electron microscopy in the myocardium of a patient before death

被引：9

作者：

Silvestry, FE

Kim, B

Pollack, BJ

Haimowitz, JE

Murray, RK

Furth, EE

Nisenbaum, HL

Kochman, ML

Freedman, N

Pine, R

Herrmann, HC

机构：

[1] UNIV PENN, MED CTR, DIV CARDIOVASC, PHILADELPHIA, PA 19104 USA

[2] MED CTR, PRINCETON, NJ 08540 USA

来源：

ANNALS OF INTERNAL MEDICINE | 1997年 / 126卷 / 03期

关键词：

D O I：

10.7326/0003-4819-126-3-199702010-00006

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Electron microscopy has been used after death to document Whipple bacillus in the myocardial tissue of two patients without clinical cardiac involvement who died of untreated Whipple disease. This report describes a patient with atypical Whipple disease and predominant cardiac involvement in whom electron microscopy showed Whipple bacillus in myocardial tissue while the patient was alive.

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收藏

页码：214 / 216

页数：3

相关论文

共 12 条

[1] SYMPTOMATIC CARDIOMYOPATHY AS A PRESENTATION IN WHIPPLES-DISEASE [J].

DETAKATS, PG ;

DETAKATS, DLP ;

IQBAL, TH ;

WATSON, RDS ;

SHEPPARD, MN ;

COOPER, BT .

POSTGRADUATE MEDICAL JOURNAL, 1995, 71 (834) :236-239

[2] WHIPPLES DISEASE - CLINICAL, BIOCHEMICAL, AND HISTOPATHOLOGIC FEATURES AND ASSESSMENT OF TREATMENT IN 29 PATIENTS [J].

FLEMING, JL ;

WIESNER, RH ;

SHORTER, RG .

MAYO CLINIC PROCEEDINGS, 1988, 63 (06) :539-551

[3] ABNORMALITIES OF THE CORONARY-ARTERIES IN WHIPPLES DISEASE [J].

JAMES, TN ;

BULKLEY, BH .

AMERICAN HEART JOURNAL, 1983, 105 (03) :481-491

[4] PANCARDITIS IN WHIPPLES DISEASE - ELECTRON-MICROSCOPIC DEMONSTRATION OF INTRACARDIAC BACILLARY BODIES [J].

LIE, JT ;

DAVIS, JS .

AMERICAN JOURNAL OF CLINICAL PATHOLOGY, 1976, 66 (01) :22-30

[5] WHIPPLES DISEASE - A REVIEW OF 19 PATIENTS FROM ONE HOSPITAL AND A REVIEW OF LITERATURE SINCE 1950 [J].

MAIZEL, H ;

RUFFIN, JM ;

DOBBINS, WO .

MEDICINE, 1970, 49 (03) :175-+

[6] CARDIAC INVOLVEMENT IN WHIPPLES DISEASE [J].

MCALLISTER, HA ;

FENOGLIO, JJ .

CIRCULATION, 1975, 52 (01) :152-156

[7] INTERSTITIAL LYMPHOCYTIC MYOCARDITIS IN WHIPPLES DISEASE [J].

PELECH, T ;

FRIC, P ;

HUSLAROVA, A ;

JIRASEK, A .

LANCET, 1991, 337 (8740) :553-554

[8] IDENTIFICATION OF THE UNCULTURED BACILLUS OF WHIPPLES DISEASE [J].

RELMAN, DA ;

SCHMIDT, TM ;

MACDERMOTT, RP ;

FALKOW, S .

NEW ENGLAND JOURNAL OF MEDICINE, 1992, 327 (05) :293-301

[9] THE HEART AND WHIPPLES DISEASE [J].

SOSSAI, P ;

DEBONI, M ;

CIELO, R .

INTERNATIONAL JOURNAL OF CARDIOLOGY, 1989, 23 (02) :275-276

[10]

UPTON AC, 1952, AM J CLIN PATHOL, V22, P755