title: [Tonsillar hypertrophy and mesenteric adenopathies as the main manifestations in a patient with Whipple's disease].
abstract: Whipple's disease is an infrequent chronic infection caused by Tropheryma whipplei, identified in 1992. Intestinal, articular, central nervous system and cardiac involvement is common. The presence of abdominal adenopathies, especially mesenteric adenopathies, without peripheral adenopathies or gastrointestinal, articular, neurological or cardiac symptoms is rare. We present the case of a male patient with tonsillar hypertrophy, mesenteric adenopathies, fever and constitutional syndrome, leading to suspicion of lymphoma. Biopsy findings of the lingual tonsil and mesenteric adenopathies were compatible with Whipple's disease. The diagnosis was confirmed by blood polymerase chain reaction.
authors: Servicio de Aparato Digestivo. Hospital Donostia. San Sebastián. Guipúzcoa. España. acosme@chdo.osakidetza.net.
authors: Angel
authors: A
authors: Cosme Jiménez
authors: Evelia
authors: E
authors: Ojeda Pérez
authors: Fernando
authors: F
authors: Neira
authors: Manuel
authors: M
authors: Vaquero Pérez
authors: Luis
authors: L
authors: Bujanda Fernández de Piérola
authors: Isabel
authors: I
authors: Montalvo
authors: Nerea
authors: N
authors: Muro Carral
mesh_terms: D006801:Humans; D006984:Hypertrophy / Q000209:etiology; D008206:Lymphatic Diseases / Q000209:etiology*; D008297:Male; D008643:Mesentery; D008875:Middle Aged; D014066:Palatine Tonsil / Q000473:pathology*; D008061:Whipple Disease / Q000150:complications* / Q000175:diagnosis