Division of Internal Medicine, Krankenhaus Maria Hilf, Daun, Germany.
Charité-University Medicine Berlin, Campus Benjamin Franklin, Division of Infectious Diseases, Berlin, Germany.
Lancet Infect Dis. 2016 Mar;16(3):e13-22. doi: 10.1016/S1473-3099(15)00537-X. Epub 2016 Feb 6.
Recent advances in medical microbiology, epidemiology, cellular biology, and the availability of an expanded set of diagnostic methods such as histopathology, immunohistochemistry, PCR, and bacterial culture have improved our understanding of the clinical range and natural course of Tropheryma whipplei infection and Whipple's disease. Interdisciplinary and transnational research activities have contributed to the clarification of the pathogenesis of the disorder and have enabled controlled trials of different treatment strategies. We summarise the current knowledge and new findings relating to T whipplei infection and Whipple's disease.
近年来,医学微生物学、流行病学、细胞生物学的发展,以及组织病理学、免疫组织化学、PCR 和细菌培养等一系列扩展诊断方法的出现,提高了我们对惠特莫尔氏疏螺旋体感染和惠特莫尔氏病的临床范围和自然病程的理解。跨学科和跨国界的研究活动有助于阐明该疾病的发病机制,并能够对不同治疗策略进行对照试验。我们总结了与 T 惠特莫尔氏疏螺旋体感染和惠特莫尔氏病相关的现有知识和新发现。