Whipple's disease with constrictive pericarditis: a rare disease with a rare presentation.
Whipple's disease is a multisystem disease that can affect the heart with predominantly endocardial and pericardial involvement and, less often, myocardial inflammation. Previously diagnosed at autopsy, cardiac involvement in Whipple's disease is being recognized clinically more often. A 58-year-old man with Whipple's-related constrictive pericarditis, arthralgias and lymphadenopathy is described. He underwent antibiotic treatment and pericardiectomy with improvement in his clinical state.
Iqbal
T
T
Department of Medicine, University of Ottawa Heart Institute, Canada. tiqbal@ottawahospital.on.ca
Karovitch
A
A
Veinot
J
J
Saginur
R
R
Beauchesne
L
L
D018771:Arthralgia / Q000150:complications; D005355:Fibrosis; D006801:Humans; D007413:Intestinal Mucosa / Q000473:pathology; D007583:Jejunum / Q000473:pathology; D008206:Lymphatic Diseases / Q000150:complications / Q000473:pathology; D008279:Magnetic Resonance Imaging; D008297:Male; D008875:Middle Aged; D010492:Pericardiectomy; D010494:Pericarditis, Constrictive / Q000150:complications* / Q000473:pathology / Q000601:surgery; D010496:Pericardium / Q000473:pathology; D014057:Tomography, X-Ray Computed; D008061:Whipple Disease / Q000150:complications* / Q000175:diagnosis*