Kortsik C S, Heine M, Staedt U, Kirschstein W, Gladisch R
I. Medizinische Klinik, Fakultät für Klinische Medizin der Universität Heidelberg.
Dtsch Med Wochenschr. 1989 Jul 14;114(28-29):1107-9. doi: 10.1055/s-2008-1066725.
A 43-year-old man had severe upper abdominal pain and weight loss of 8 kg for over three months. He underwent a laparotomy because, computed tomography having revealed numerous mesenteric and para-aortic lymph nodes, a malignant lymphoma was suspected. Histological examination of a mesenteric lymph node demonstrated exclusively extraintestinal Whipple's disease. The symptoms completely disappeared after the administration of 1.2 mega U penicillin G and 1 g streptomycin daily for 14 days, followed by twice daily 160 mg trimethoprim and 800 mg sulphamethoxazole.
一名43岁男性出现严重上腹部疼痛，且在三个多月内体重减轻了8公斤。他接受了剖腹手术，因为计算机断层扫描显示有大量肠系膜和腹主动脉旁淋巴结，怀疑患有恶性淋巴瘤。对一个肠系膜淋巴结进行组织学检查，结果仅显示为肠外惠普尔病。每天给予120万单位青霉素G和1克链霉素，持续14天，随后每天两次给予160毫克甲氧苄啶和800毫克磺胺甲恶唑，之后症状完全消失。
