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Misdiagnosing Whipple's disease in the young.

Papakonstantinou, Danai and Riste, Michael J and Langman, Gerald and Moran, Ed (2017) Misdiagnosing Whipple's disease in the young. BMJ case reports, 2017. ISSN 1757-790X. This article is available to all HEFT staff and students via ASK HEFT Discovery tool http://tinyurl.com/z795c8c using their HEFT Athens Login.

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Official URL: http://casereports.bmj.com/content/2017/bcr-2016-2...

Abstract

Whipple's disease is considered an infection of middle-aged white men of European ancestry. Cases are rare and disproportionately associated with occupational exposure to soil or animals. We report the case of a man aged 22 years with no risk factors, erroneously diagnosed with, and treated for, toxoplasmosis on the basis of consistent lymph node histology. The correct diagnosis was delayed by the dramatic symptomatic improvement resulting from this therapy. Whipple's disease should be considered in cases of granulomatous lymphadenopathy of unknown cause, even if the age of the patient does not fit the classic presentation of the disease.

Item Type: Article
Additional Information: This article is available to all HEFT staff and students via ASK HEFT Discovery tool http://tinyurl.com/z795c8c using their HEFT Athens Login.
Subjects: WC Communicabable diseases > WC680 Tropical medicine
Divisions: Clinical Support > Infectious Diseases
Related URLs:
Depositing User: Mr Philip O'Reilly
Date Deposited: 24 Mar 2017 15:55
Last Modified: 24 Mar 2017 15:55
URI: http://www.repository.heartofengland.nhs.uk/id/eprint/1286

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