[Malignant tumor-like abdominal lymphoma in Whipple's disease].
A 43-year-old man had severe upper abdominal pain and weight loss of 8 kg for over three months. He underwent a laparotomy because, computed tomography having revealed numerous mesenteric and para-aortic lymph nodes, a malignant lymphoma was suspected. Histological examination of a mesenteric lymph node demonstrated exclusively extraintestinal Whipple's disease. The symptoms completely disappeared after the administration of 1.2 mega U penicillin G and 1 g streptomycin daily for 14 days, followed by twice daily 160 mg trimethoprim and 800 mg sulphamethoxazole.
Kortsik
C S
CS
I. Medizinische Klinik, Fakultät für Klinische Medizin der Universität Heidelberg.
Heine
M
M
Staedt
U
U
Kirschstein
W
W
Gladisch
R
R
D000008:Abdominal Neoplasms / Q000175:diagnosis*; D000328:Adult; D003937:Diagnosis, Differential; D004359:Drug Therapy, Combination; D005260:Female; D006801:Humans; D008199:Lymphadenitis / Q000175:diagnosis; D008223:Lymphoma / Q000175:diagnosis*; D008297:Male; D010400:Penicillin G / Q000008:administration & dosage; D013307:Streptomycin / Q000008:administration & dosage; D013420:Sulfamethoxazole / Q000008:administration & dosage; D014295:Trimethoprim / Q000008:administration & dosage; D008061:Whipple Disease / Q000175:diagnosis* / Q000188:drug therapy / Q000473:pathology
D014295:Trimethoprim; D013420:Sulfamethoxazole; D010400:Penicillin G; D013307:Streptomycin
Malignomähnliche abdominelle Lymphome bei Morbus Whipple.