[What posttreatment monitoring in Whipple's disease? A case report].
The authors--which publish an overview about Whipple's disease in this issue, pages 609-611--report the case of a 67-year-old man admitted to the hospital because of migratory arthralgia, low-grade fever, lymphadenopathy, diarrhea, and impaired intestinal absorption. The microscopical examination of the intestinal mucosa showed an infiltration of the lamina propria by foamy PAS-positive macrophages. The patient was treated with antibiotics for 1 year and obtained clinical remission. The authors discuss if it is opportune, in subjects with this disease, to repeat the small-bowel biopsies at the end of the antibiotic treatment in absence of clinical manifestations of relapse or not.
Ronchetto
F
F
Divisione di Medicina III, Ospedale di Castellamonte, USL 9 Ivrea, Torino.
Vineis
C
C
Musso
V
V
D000368:Aged; D000658:Amoxicillin / Q000008:administration & dosage; D000900:Anti-Bacterial Agents / Q000008:administration & dosage; D003113:Colonoscopy; D004359:Drug Therapy, Combination / Q000008:administration & dosage; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008991:Monitoring, Physiologic; D010402:Penicillin G Procaine / Q000008:administration & dosage; D010406:Penicillins / Q000008:administration & dosage; D012074:Remission Induction; D013307:Streptomycin / Q000008:administration & dosage; D008061:Whipple Disease / Q000175:diagnosis* / Q000188:drug therapy
D000900:Anti-Bacterial Agents; D010406:Penicillins; D010402:Penicillin G Procaine; D000658:Amoxicillin; D013307:Streptomycin
Quale monitoraggio post-trattamento nella malattia di Whipple? Presentazione di un caso.