Hansen Alexander, Mereles Derliz
Department of Cardiology, Klinik Koesching, University Heidelberg, Krankenhausstr. 19, D-85092 Koesching, Germany.
Eur J Echocardiogr. 2008 May;9(3):426-7. doi: 10.1093/ejechocard/jen022. Epub 2008 Mar 30.
Whipple's disease or intestinal lipodystrophy is an infection induced by Tropheryma whipplei. It is rare with an estimated incidence of 0.4 per million. Symptoms are arthropathy, weight loss, and diarrhoea, but other organs notably the central nervous system may be affected. We demonstrate a case of cardiac complications in Whipple's disease. The patient presented with endocardial infiltrations on TEE examinations and heart failure and improved after antibiotic treatment.
惠普尔病或肠道脂肪代谢障碍是由惠普尔嗜组织菌引起的一种感染。该病较为罕见,估计发病率为百万分之0.4。症状包括关节病、体重减轻和腹泻,但其他器官尤其是中枢神经系统也可能受到影响。我们展示了一例惠普尔病并发心脏并发症的病例。该患者经经食管超声心动图检查发现有内膜浸润及心力衰竭,经抗生素治疗后病情好转。