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一例伪装成非特异性长期症状的惠普尔病偶然发现

An Incidental Finding of Whipple's Disease Masquerading as Nonspecific, Long-Standing Symptoms.

作者信息

Tuggle Thomas, Orvin Alison I, Caveness Christian, Ingram Christopher

机构信息

Department of Pharmacy, WakeMed Health and Hospitals, 3000 New Bern Ave, Raleigh 27610, North Carolina, USA.

Department of Pharmacy Services, Carilion Clinic, 1906 Belleview Ave, Roanoke 24014, Virginia, USA.

出版信息

Case Rep Infect Dis. 2024 Dec 27;2024:3177799. doi: 10.1155/crdi/3177799. eCollection 2024.

Abstract

Whipple's disease is a rare bacterial infection that is often present for years prior to diagnosis. Symptoms are nonspecific in the early stages of presentation and are primarily gastrointestinal in nature. The disease may progress with more systemic symptoms including arthralgia, fever, lymphadenopathy, cardiovascular disease, and central nervous system involvement. This case describes a man with a history of long-standing, nonspecific symptoms who only began to show significant improvement after an incidental finding of Whipple's disease. Due to its rare nature, other instances of the disease have likely gone undiagnosed. A brief review of relevant literature is also included.

摘要

惠普尔病是一种罕见的细菌感染,常在诊断前数年就已存在。在疾病初期,症状不具特异性,主要为胃肠道症状。疾病可能会进展,出现更多全身性症状,包括关节痛、发热、淋巴结病、心血管疾病以及中枢神经系统受累。本病例描述了一名有长期非特异性症状病史的男性,他在偶然发现惠普尔病后才开始有显著改善。由于其罕见性,该病的其他病例可能未被诊断出来。本文还包括对相关文献的简要综述。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6050/11698609/0289e94b6b2d/CRIID2024-3177799.001.jpg

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