title: [Whipple disease and central nervous system].
abstract: Whipple disease (WD) is a rare systemic infection caused by the bacteria Tropheryma whipplei. Slowly progressive dementia, supranuclear ophthalmoplegia, headache, myoclonus, hypothalamic dysfunction, oculomasticatory-skeletal myorythmia are characteristic manifestations when WD involves the central nervous system (CNS). Treatment of cerebral WD should be performed with antibiotics that reach the CNS for at the least one-year. We alert for the early diagnosis of WD in patients with exclusively neurological clinical pictures, sometimes with atypical or non-definitive diagnosis, because it is a potential treatable disease.
authors.affiliation: Serviço de Neurologia, Hospital de S. João, Porto.
authors.forename: Pedro
authors.initials: P
authors.lastname: Abreu
authors.forename: Elsa
authors.initials: E
authors.lastname: Azevedo
authors.forename: Luís
authors.initials: L
authors.lastname: Lobo
authors.forename: Conceição Souto
authors.initials: CS
authors.lastname: Moura
authors.forename: Celso
authors.initials: C
authors.lastname: Pontes
mesh_terms: D001927:Brain Diseases; D020806:Central Nervous System Bacterial Infections / Q000175:diagnosis / Q000188:drug therapy / Q000209:etiology*; D006801:Humans; D008061:Whipple Disease / Q000150:complications*