title: [A rare cause of recurrent monarthritis of the knee].
abstract: Isolated monarthritis caused by Tropheryma whipplei without involvement of the gastrointestinal tract is rare but is nowadays often described as an early manifestation of the disease. In a male patient with recurrent knee joint arthritis for several years, we could ultimately diagnose Whipple's disease based on PCR positive biopsies of synovial tissue and fluid. Furthermore, the patient was found to be an asymptomatic T. whipplei carrier. With adequate antibiotic therapy the patient has meanwhile fully recovered.
authors.affiliation: Medizinische Klinik/Abteilung für Rheumatologie, Zuger Kantonsspital, Landhausstr. 11, 6340, Baar, Schweiz.
authors.forename: P
authors.initials: P
authors.lastname: Stasch
authors.forename: M
authors.initials: M
authors.lastname: Vogt
authors.forename: G
authors.initials: G
authors.lastname: Bloemberg
authors.forename: M
authors.initials: M
authors.lastname: Schmied
authors.forename: T
authors.initials: T
authors.lastname: Langenegger
mesh_terms: D000900:Anti-Bacterial Agents / Q000627:therapeutic use*; D001168:Arthritis / Q000175:diagnosis / Q000188:drug therapy* / Q000382:microbiology*; D003937:Diagnosis, Differential; D006801:Humans; D007719:Knee Joint; D008297:Male; D008875:Middle Aged; D035583:Rare Diseases / Q000175:diagnosis / Q000188:drug therapy / Q000382:microbiology; D016896:Treatment Outcome; D054851:Tropheryma; D008061:Whipple Disease / Q000175:diagnosis / Q000188:drug therapy* / Q000382:microbiology*
chemical_list: D000900:Anti-Bacterial Agents