ChloroquineV1, Main, Exploration, bibRecord, 000B95

Mesenteric lymphadenitis as a presenting feature of Whipple's disease: Value of PCR analysis

Identifieur interne : 000B95 ( Main/Exploration ); précédent : 000B94; suivant : 000B96

Mesenteric lymphadenitis as a presenting feature of Whipple's disease: Value of PCR analysis

Auteurs : Lucie Wartique [Belgique] ; Jean-Christophe Lagier [France] ; Didier Raoult [France] ; Yvan Jamilloux [France] ; Pascal Seve [France]

Source :

International Journal of Infectious Diseases [ 1201-9712 ] ; 2018.

RBID : Hal:hal-01910336

Abstract

Whipple's disease (WD) is a rare chronic and systemic infection caused by the ubiquitous actinomycete Tropheryma whipplei. A case of localized infection with mesenteric adenopathy associated with a prolonged unexplained fever is reported herein. Screening by PCR on saliva and stool was positive, and T. whipplei was formally identified by specific PCR on duodenal and mesenteric adenopathy biopsies. Histological analysis did not demonstrate periodic acid-Schiff-positive macrophages or positive T. whipplei immunochemistry in either the duodenal mucosa or mesenteric nodes. Treatment with hydroxychloroquine and doxycycline allowed a rapid resolution of symptoms, and subsequent saliva and stool PCR results were negative. (c) 2018 The Author(s). Published by Elsevier Ltd on behalf of International Society for Infectious Diseases.

Url:

https://hal.archives-ouvertes.fr/hal-01910336

DOI: 10.1016/j.ijid.2018.08.003

Affiliations:

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Le document en format XML

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</placeName>
<orgName type="university">Université d'Aix-Marseille</orgName>
</affiliation>
</author>
<author><name sortKey="Jamilloux, Yvan" sort="Jamilloux, Yvan" uniqKey="Jamilloux Y" first="Yvan" last="Jamilloux">Yvan Jamilloux</name>
<affiliation wicri:level="1"><hal:affiliation type="researchteam" xml:id="struct-543790" status="VALID">          <orgName>Inflammasome, Infections bactériennes et autoinflammation ; Inflammasome, Bacterial Infections and Autoinflammation</orgName>
          <desc>            <address>              <addrLine>21 avenue Tony Garnier69007 Lyon</addrLine>
              <country key="FR"></country>
            </address>
            <ref type="url">http://ciri.inserm.fr</ref>
          </desc>
          <listRelation>            <relation active="#struct-222995" type="direct"></relation>
            <relation active="#struct-6818" type="indirect"></relation>
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        <tutelles><tutelle active="#struct-222995" type="direct"><org type="regrouplaboratory" xml:id="struct-222995" status="VALID">          <idno type="IdRef">17825696X</idno>
          <idno type="RNSR">201320572J</idno>
          <orgName>Centre International de Recherche en Infectiologie - UMR</orgName>
          <orgName type="acronym">CIRI</orgName>
          <date type="start">2013-01-01</date>
          <desc>            <address>              <addrLine>21 avenue Tony Garnier 69365 Lyon Cedex 07</addrLine>
              <country key="FR"></country>
            </address>
            <ref type="url">http://ciri.inserm.fr/</ref>
          </desc>
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</tutelle>
<tutelle active="#struct-6818" type="indirect"><org type="institution" xml:id="struct-6818" status="VALID">          <idno type="IdRef">149154992</idno>
          <orgName>École normale supérieure - Lyon</orgName>
          <orgName type="acronym">ENS Lyon</orgName>
          <desc>            <address>              <addrLine>15 parvis René Descartes - BP 7000 - 69342 Lyon Cedex 07</addrLine>
              <country key="FR"></country>
            </address>
            <ref type="url">http://www.ens-lyon.eu/</ref>
          </desc>
        </org>
</tutelle>
<tutelle active="#struct-194495" type="indirect"><org type="institution" xml:id="struct-194495" status="VALID">          <idno type="IdRef">026402823</idno>
          <idno type="ISNI">0000000121686185</idno>
          <orgName>Université Claude Bernard Lyon 1</orgName>
          <orgName type="acronym">UCBL</orgName>
          <desc>            <address>              <addrLine>43, boulevard du 11 novembre 1918, 69622 Villeurbanne cedex</addrLine>
              <country key="FR"></country>
            </address>
            <ref type="url">http://www.univ-lyon1.fr/</ref>
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<tutelle active="#struct-301088" type="indirect"><org type="regroupinstitution" xml:id="struct-301088" status="VALID">          <orgName>Université de Lyon</orgName>
          <desc>            <address>              <addrLine>92 rue Pasteur - CS 30122, 69361 Lyon Cedex 07</addrLine>
              <country key="FR"></country>
            </address>
            <ref type="url">https://www.universite-lyon.fr/</ref>
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</tutelle>
<tutelle name="U1111" active="#struct-303623" type="indirect"><org type="institution" xml:id="struct-303623" status="VALID">          <idno type="IdRef">026388278</idno>
          <orgName>Institut National de la Santé et de la Recherche Médicale</orgName>
          <orgName type="acronym">INSERM</orgName>
          <desc>            <address>              <addrLine>101, rue de Tolbiac, 75013 Paris </addrLine>
              <country key="FR"></country>
            </address>
            <ref type="url">http://www.inserm.fr</ref>
          </desc>
        </org>
</tutelle>
<tutelle name="UMR5308" active="#struct-441569" type="indirect"><org type="institution" xml:id="struct-441569" status="VALID">          <idno type="IdRef">02636817X</idno>
          <idno type="ISNI">0000000122597504</idno>
          <orgName>Centre National de la Recherche Scientifique</orgName>
          <orgName type="acronym">CNRS</orgName>
          <date type="start">1939-10-19</date>
          <desc>            <address>              <country key="FR"></country>
            </address>
            <ref type="url">http://www.cnrs.fr/</ref>
          </desc>
        </org>
</tutelle>
</tutelles>
</hal:affiliation>
<country>France</country>
<placeName><settlement type="city">Lyon</settlement>
<region type="region" nuts="2">Auvergne-Rhône-Alpes</region>
<region type="old region" nuts="2">Rhône-Alpes</region>
</placeName>
<orgName type="university">Université Claude Bernard Lyon 1</orgName>
<orgName type="institution" wicri:auto="newGroup">Université de Lyon</orgName>
</affiliation>
</author>
<author><name sortKey="Seve, Pascal" sort="Seve, Pascal" uniqKey="Seve P" first="Pascal" last="Seve">Pascal Seve</name>
<affiliation wicri:level="1"><hal:affiliation type="laboratory" xml:id="struct-530096" status="INCOMING">          <orgName>Service de Médecine Interne [Hôpital Croix Rousse, CHU Lyon]</orgName>
          <desc>            <address>              <addrLine>103 Grande Rue de la Croix-Rousse, 69004 Lyon.</addrLine>
              <country key="FR"></country>
            </address>
          </desc>
          <listRelation>            <relation active="#struct-339246" type="direct"></relation>
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          </listRelation>
        <tutelles><tutelle active="#struct-339246" type="direct"><org type="institution" xml:id="struct-339246" status="INCOMING">          <orgName>CHU Lyon</orgName>
          <desc>            <address>              <country key="FR"></country>
            </address>
          </desc>
        </org>
</tutelle>
<tutelle active="#struct-456899" type="direct"><org type="institution" xml:id="struct-456899" status="VALID">          <orgName>Hôpital de la Croix-Rousse [CHU - HCL]</orgName>
          <desc>            <address>              <addrLine>103 Grande Rue de la Croix-Rousse69004 Lyon</addrLine>
              <country key="FR"></country>
            </address>
            <ref type="url">http://www.chu-lyon.fr/fr/hopital-de-la-croix-rousse</ref>
          </desc>
          <listRelation>            <relation active="#struct-300074" type="direct"></relation>
          </listRelation>
        </org>
</tutelle>
<tutelle active="#struct-300074" type="indirect"><org type="regroupinstitution" xml:id="struct-300074" status="VALID">          <idno type="IdRef">026534657</idno>
          <orgName>Hospices Civils de Lyon</orgName>
          <orgName type="acronym">HCL</orgName>
          <desc>            <address>              <addrLine>3 Quai des Célestins69002 Lyon </addrLine>
              <country key="FR"></country>
            </address>
            <ref type="url">http://www.chu-lyon.fr/fr/hospices-civils-de-lyon-hcl</ref>
          </desc>
        </org>
</tutelle>
</tutelles>
</hal:affiliation>
<country>France</country>
</affiliation>
</author>
</analytic>
<idno type="DOI">10.1016/j.ijid.2018.08.003</idno>
<series><title level="j">International Journal of Infectious Diseases</title>
<idno type="ISSN">1201-9712</idno>
<imprint><date type="datePub">2018</date>
</imprint>
</series>
</biblStruct>
</sourceDesc>
</fileDesc>
<profileDesc><textClass></textClass>
</profileDesc>
</teiHeader>
<front><div type="abstract" xml:lang="en">              <p>Whipple's disease (WD) is a rare chronic and systemic infection caused by the ubiquitous actinomycete Tropheryma whipplei. A case of localized infection with mesenteric adenopathy associated with a prolonged unexplained fever is reported herein. Screening by PCR on saliva and stool was positive, and T. whipplei was formally identified by specific PCR on duodenal and mesenteric adenopathy biopsies. Histological analysis did not demonstrate periodic acid-Schiff-positive macrophages or positive T. whipplei immunochemistry in either the duodenal mucosa or mesenteric nodes. Treatment with hydroxychloroquine and doxycycline allowed a rapid resolution of symptoms, and subsequent saliva and stool PCR results were negative. (c) 2018 The Author(s). Published by Elsevier Ltd on behalf of International Society for Infectious Diseases.</p>
            </div>
</front>
</TEI>
<affiliations><list><country><li>Belgique</li>
<li>France</li>
</country>
<region><li>Auvergne-Rhône-Alpes</li>
<li>Provence-Alpes-Côte d'Azur</li>
<li>Rhône-Alpes</li>
</region>
<settlement><li>Lyon</li>
<li>Marseille</li>
</settlement>
<orgName><li>Université Claude Bernard Lyon 1</li>
<li>Université d'Aix-Marseille</li>
<li>Université de Lyon</li>
</orgName>
</list>
<tree><country name="Belgique"><noRegion><name sortKey="Wartique, Lucie" sort="Wartique, Lucie" uniqKey="Wartique L" first="Lucie" last="Wartique">Lucie Wartique</name>
</noRegion>
</country>
<country name="France"><region name="Provence-Alpes-Côte d'Azur"><name sortKey="Lagier, Jean Christophe" sort="Lagier, Jean Christophe" uniqKey="Lagier J" first="Jean-Christophe" last="Lagier">Jean-Christophe Lagier</name>
</region>
<name sortKey="Jamilloux, Yvan" sort="Jamilloux, Yvan" uniqKey="Jamilloux Y" first="Yvan" last="Jamilloux">Yvan Jamilloux</name>
<name sortKey="Raoult, Didier" sort="Raoult, Didier" uniqKey="Raoult D" first="Didier" last="Raoult">Didier Raoult</name>
<name sortKey="Seve, Pascal" sort="Seve, Pascal" uniqKey="Seve P" first="Pascal" last="Seve">Pascal Seve</name>
</country>
</tree>
</affiliations>
</record>

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Mesenteric lymphadenitis as a presenting feature of Whipple's disease: Value of PCR analysis

Mesenteric lymphadenitis as a presenting feature of Whipple's disease: Value of PCR analysis

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