[Tonsillar hypertrophy and mesenteric adenopathies as the main manifestations in a patient with Whipple's disease].
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.
Cosme Jiménez
Angel
A
Servicio de Aparato Digestivo. Hospital Donostia. San Sebastián. Guipúzcoa. España. acosme@chdo.osakidetza.net.
Ojeda Pérez
Evelia
E
Neira
Fernando
F
Vaquero Pérez
Manuel
M
Bujanda Fernández de Piérola
Luis
L
Montalvo
Isabel
I
Muro Carral
Nerea
N
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