Marth Thomas
a Division of Internal Medicine , Krankenhaus Maria Hilf , Daun , Germany.
Acta Clin Belg. 2016 Dec;71(6):373-378. doi: 10.1080/17843286.2016.1256586. Epub 2016 Nov 24.
In recent years, it has become apparent that Tropheryma whipplei not only causes a chronic multisystemic infection which is often preceded by arthropathies for many years, well known as 'classical' Whipple's disease, but also clinically becomes manifest with localized organ affections and acute (transient) infections in children. T. whipplei is found ubiquitously in the environment and colonizes in some healthy carriers. In this review, we highlight new aspects of this enigmatic infectious disorder.
近年来,显而易见的是,惠普尔嗜组织细胞菌不仅会引发一种慢性多系统感染,这种感染在许多情况下会先出现多年的关节病,即众所周知的“经典型”惠普尔病,而且在临床上还会表现为局部器官病变以及儿童中的急性(短暂性)感染。惠普尔嗜组织细胞菌在环境中普遍存在,并在一些健康携带者体内定植。在这篇综述中,我们重点介绍了这种神秘感染性疾病的新情况。