Another Whipple’s triad? Pericardial, myocardial and valvular disease in an unusual case presentation from a Canadian perspective
Identifieur interne : 000A85 ( Main/Exploration ); précédent : 000A84; suivant : 000A86Another Whipple’s triad? Pericardial, myocardial and valvular disease in an unusual case presentation from a Canadian perspective
Auteurs : Christina S. Thornton ; Yinong Wang ; Martin Köebel ; Kathryn Bernard [Canada] ; Tamara Burdz ; Andrew Maitland ; Jose G. Ferraz ; Paul L. Beck ; Andre FerlandSource :
- BMC Cardiovascular Disorders [ 1471-2261 ] ; 2019.
Abstract
Whipple’s disease is a clinically relevant multi-system disorder that is often undiagnosed given its elusive nature. We present an atypical case of Whipple’s disease involving pan-valvular endocarditis and constrictive pericarditis, requiring cardiac intervention. A literature review was also performed assessing the prevalence of atypical cases of Whipple’s disease.
A previously healthy 56-year-old male presented with a four-year history of congestive heart failure with weight loss and fatigue. Notably, he had absent gastrointestinal symptoms. He went on to develop pan-valvular endocarditis and constrictive pericarditis requiring urgent cardiac surgery. A clinical diagnosis of Whipple’s disease was suspected, prompting duodenal biopsy sampling which was unremarkable, Subsequently,
Our study reports the first known case of Whipple’s disease involving pan-valvular endocarditis and constrictive pericarditis. A literature review also highlights this presentation of atypical Whipple’s with limited gastrointestinal manifestations. Duodenal involvement was limited and the gold standard of biopsy was not contributory. We also highlight the Canadian epidemiology of the disease from 2012 to 2016 with an approximate 4% prevalence rate amongst submitted samples. Routine investigations for Whipple’s disease, including duodenal biopsy, in this case may have missed the diagnosis. A high degree of suspicion was critical for diagnosis of unusual manifestations of Whipple’s disease.
Url:
DOI: 10.1186/s12872-019-1257-2
PubMed: 31870305
PubMed Central: 6929430
Affiliations:
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Le document en format XML
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<author><name sortKey="Ferland, Andre" sort="Ferland, Andre" uniqKey="Ferland A" first="Andre" last="Ferland">Andre Ferland</name>
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<institution>Department of Critical Care Medicine,</institution>
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<series><title level="j">BMC Cardiovascular Disorders</title>
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<front><div type="abstract" xml:lang="en"><sec><title>Background</title>
<p id="Par1">Whipple’s disease is a clinically relevant multi-system disorder that is often undiagnosed given its elusive nature. We present an atypical case of Whipple’s disease involving pan-valvular endocarditis and constrictive pericarditis, requiring cardiac intervention. A literature review was also performed assessing the prevalence of atypical cases of Whipple’s disease.</p>
</sec>
<sec><title>Case presentation</title>
<p id="Par2">A previously healthy 56-year-old male presented with a four-year history of congestive heart failure with weight loss and fatigue. Notably, he had absent gastrointestinal symptoms. He went on to develop pan-valvular endocarditis and constrictive pericarditis requiring urgent cardiac surgery. A clinical diagnosis of Whipple’s disease was suspected, prompting duodenal biopsy sampling which was unremarkable, Subsequently, <italic>Tropheryma whipplei</italic>
was identified by 16S rDNA PCR on the cardiac valvular tissue. He underwent prolonged antibiotic therapy with recovery of symptoms.</p>
</sec>
<sec><title>Conclusions</title>
<p id="Par3">Our study reports the first known case of Whipple’s disease involving pan-valvular endocarditis and constrictive pericarditis. A literature review also highlights this presentation of atypical Whipple’s with limited gastrointestinal manifestations. Duodenal involvement was limited and the gold standard of biopsy was not contributory. We also highlight the Canadian epidemiology of the disease from 2012 to 2016 with an approximate 4% prevalence rate amongst submitted samples. Routine investigations for Whipple’s disease, including duodenal biopsy, in this case may have missed the diagnosis. A high degree of suspicion was critical for diagnosis of unusual manifestations of Whipple’s disease.</p>
</sec>
</div>
</front>
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<biblStruct><analytic><author><name sortKey="Brouqui, P" uniqKey="Brouqui P">P Brouqui</name>
</author>
<author><name sortKey="Raoult, D" uniqKey="Raoult D">D Raoult</name>
</author>
</analytic>
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<biblStruct><analytic><author><name sortKey="Geissdorfer, W" uniqKey="Geissdorfer W">W Geissdorfer</name>
</author>
<author><name sortKey="Moos, V" uniqKey="Moos V">V Moos</name>
</author>
<author><name sortKey="Moter, A" uniqKey="Moter A">A Moter</name>
</author>
</analytic>
</biblStruct>
<biblStruct><analytic><author><name sortKey="Fournier, Pe" uniqKey="Fournier P">PE Fournier</name>
</author>
<author><name sortKey="Gouriet, F" uniqKey="Gouriet F">F Gouriet</name>
</author>
<author><name sortKey="Casalta, Jp" uniqKey="Casalta J">JP Casalta</name>
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</TEI>
<affiliations><list><country><li>Canada</li>
</country>
</list>
<tree><noCountry><name sortKey="Beck, Paul L" sort="Beck, Paul L" uniqKey="Beck P" first="Paul L." last="Beck">Paul L. Beck</name>
<name sortKey="Burdz, Tamara" sort="Burdz, Tamara" uniqKey="Burdz T" first="Tamara" last="Burdz">Tamara Burdz</name>
<name sortKey="Ferland, Andre" sort="Ferland, Andre" uniqKey="Ferland A" first="Andre" last="Ferland">Andre Ferland</name>
<name sortKey="Ferraz, Jose G" sort="Ferraz, Jose G" uniqKey="Ferraz J" first="Jose G." last="Ferraz">Jose G. Ferraz</name>
<name sortKey="Koebel, Martin" sort="Koebel, Martin" uniqKey="Koebel M" first="Martin" last="Köebel">Martin Köebel</name>
<name sortKey="Maitland, Andrew" sort="Maitland, Andrew" uniqKey="Maitland A" first="Andrew" last="Maitland">Andrew Maitland</name>
<name sortKey="Thornton, Christina S" sort="Thornton, Christina S" uniqKey="Thornton C" first="Christina S." last="Thornton">Christina S. Thornton</name>
<name sortKey="Wang, Yinong" sort="Wang, Yinong" uniqKey="Wang Y" first="Yinong" last="Wang">Yinong Wang</name>
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<country name="Canada"><noRegion><name sortKey="Bernard, Kathryn" sort="Bernard, Kathryn" uniqKey="Bernard K" first="Kathryn" last="Bernard">Kathryn Bernard</name>
</noRegion>
</country>
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