Limbic encephalitis as a relapse of Whipple's disease with digestive involvement and spondylodiscitis.


Journal

Infection
ISSN: 1439-0973
Titre abrégé: Infection
Pays: Germany
ID NLM: 0365307

Informations de publication

Date de publication:
Aug 2019
Historique:
received: 28 12 2017
accepted: 04 07 2018
pubmed: 11 7 2018
medline: 13 11 2019
entrez: 11 7 2018
Statut: ppublish

Résumé

Many clinical manifestations can be related to Tropheryma whipplei infection. We report a Tropheryma whipplei limbic encephalitis developed as a relapse of classical Whipple's disease. This case is to the best of our knowledge the first proof of the effective brain-blood barrier crossing of both doxycycline and hydroxychloroquine as demonstrated by direct concentration monitoring on brain biopsy.

Identifiants

pubmed: 29987509
doi: 10.1007/s15010-018-1173-x
pii: 10.1007/s15010-018-1173-x
doi:

Types de publication

Case Reports Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

637-641

Références

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Auteurs

Didier Brönnimann (D)

Service de médecine interne et pathologies infectieuses, CHU de Bordeaux, Groupe Hospitalier Saint André, hôpital Saint André, 1 rue Jean Burguet, 33000, Bordeaux Cedex, France. didier.bronnimann@chu-bordeaux.fr.

Marc-Olivier Vareil (MO)

Service de maladies infectieuses et dermatologie, Centre hospitalier de la côte basque, 64100, Bayonne, France.

Igor Sibon (I)

CHU Bordeaux, Unité Neurovasculaire, 33000, Bordeaux, France.
Univ. Bordeaux, INCIA UMR CNRS 5287, 33000, Bordeaux, France.

Jean-Christophe Lagier (JC)

Aix Marseille Université, URMITE, UM 63, CNRS 7278, IRD 198, INSERM 1095, 13000, Marseille, France.

Hubert Lepidi (H)

Aix Marseille Université, URMITE, UM 63, CNRS 7278, IRD 198, INSERM 1095, 13000, Marseille, France.

Mathilde Puges (M)

Service des pathologies infectieuses et tropicales, CHU de Bordeaux, hôpital Pellegrin, 33000, Bordeaux, France.

Fatiha Haneche (F)

Service des pathologies infectieuses et tropicales, CHU de Bordeaux, hôpital Pellegrin, 33000, Bordeaux, France.

Didier Raoult (D)

Aix Marseille Université, URMITE, UM 63, CNRS 7278, IRD 198, INSERM 1095, 13000, Marseille, France.

Arnaud Desclaux (A)

Service des pathologies infectieuses et tropicales, CHU de Bordeaux, hôpital Pellegrin, 33000, Bordeaux, France.

Didier Neau (D)

Service des pathologies infectieuses et tropicales, CHU de Bordeaux, hôpital Pellegrin, 33000, Bordeaux, France.

Charles Cazanave (C)

Service des pathologies infectieuses et tropicales, CHU de Bordeaux, hôpital Pellegrin, 33000, Bordeaux, France.
Univ. Bordeaux, USC EA 3671, Infections humaines à mycoplasmes et à chlamydiae, 33000, Bordeaux, France.

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