title: [Whipple's disease manifested as difficult-to-diagnose polyarthralgia: a case report and literature review].
abstract: Whipple's disease is a rare and multisystemic bacterial disease caused by the Gram-positive bacillus Tropheryma whipplei. Since it is a rare disease with a varied clinical presentation, its diagnosis is often delayed. The joint manifestations may precede the typical syndrome in decades, being a challenge for specialists and internists. We report a case of Whipple's disease in a man with polyarthralgia whose diagnosis was established after extensive clinical deterioration over five years.
authors.affiliation: Universidade Federal do Estado do Rio de Janeiro (Unirio), Rio de Janeiro, RJ, Brasil. Electronic address: drguialmeida@gmail.com.
authors.forename: Guilherme Almeida Rosa da
authors.initials: GA
authors.lastname: Silva
authors.affiliation: Universidade Federal do Estado do Rio de Janeiro (Unirio), Rio de Janeiro, RJ, Brasil.
authors.forename: José Soares Pires
authors.initials: JS
authors.lastname: Neto
keywords: Arthralgia; Artralgia; Doença de Whipple; Tropheryma; Tropheryma whipplei; Whipple's disease