Martin-Iguacel Raquel, Clark Pia Susanne, Barfod Toke S
Infektionsmedicinsk Afdeling, Roskilde Sygehus, Køgevej 1-3, 4000 Roskilde.
Ugeskr Laeger. 2014 Jan 6;176(2A):V05130309.
Whipple's disease (WD) is a rare, chronic, systemic infection caused by the bacterium Tropheryma whipplei. New molecular techniques and epidemiological data over the latest decade have contributed to better understanding of this infection. The classical form of WD is characterized by arthritis followed years after by diarrhoea, weight loss and malabsorption but other clinical forms without intestinal involvement have been described. Prompt recognition and treatment of the infection is important, as the disease can be fatal if untreated. New studies are required to establish the optimal therapy regimen.
惠普尔病(WD)是一种由鞭毛虫 Tropheryma whipplei 引起的罕见慢性全身性感染。过去十年中,新的分子技术和流行病学数据有助于更好地了解这种感染。WD 的经典形式表现为关节炎,数年后出现腹泻、体重减轻和吸收不良,但也有其他无肠道受累的临床形式被描述。及时识别和治疗这种感染很重要,因为如果不治疗,该疾病可能会致命。需要开展新的研究来确定最佳治疗方案。