Doença de Wipple - a propósito de um caso

Autores

  • Eugénia Santos Médica do Internato Complementar de Medicina Interna, Serviço de Medicina I, Hospital de Egas Moniz, Lisboa
  • Filipa Malheiro Médica do Internato Complementar de Medicina Interna, Serviço de Medicina I, Hospital de Egas Moniz, Lisboa
  • Ana Paula Vilas Médica do Internato Complementar de Medicina Interna, Serviço de Medicina I, Hospital de Egas Moniz, Lisboa
  • João Sequeira Assistente Hospitalar de Medicina Interna, Serviço de Medicina I, Hospital de Egas Moniz, Lisboa
  • Isabel Madruga Assistente Hospitalar de Medicina Interna, Serviço de Medicina I, Hospital de Egas Moniz, Lisboa
  • Pedro Abecasis Director do Serviço de Medicina I, Serviço de Medicina I, Hospital de Egas Moniz, Lisboa; Professor da Universidade Nova de Lisboa, Lisboa

Palavras-chave:

Whipple, Tropheryma whippelii, PCR, imunofluorescência, défice imunitário, reacção de Jarisch-Herxheimer

Resumo

Descreve-se um caso de doença de Whipple em que ocorreu uma reacção de Jarisch-Herxheimer. Obteve-se o diagnóstico pelo método clássico: a histologia. Discute-se, este caso à luz dos novos conhecimentos acerca da patogénese, diagnóstico,
tratamento e “follow-up” desta doença rara mas possivelmente fatal (se não tratada),
nomeadamente o défice imunitário e os novos métodos de diagnóstico como a técnica
de “polimerase chain reaction” (PCR) e o teste serológico (imunofluorescência).

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Referências

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Publicado

31-12-2002

Como Citar

1.
Santos E, Malheiro F, Vilas AP, Sequeira J, Madruga I, Abecasis P. Doença de Wipple - a propósito de um caso. RPMI [Internet]. 31 de Dezembro de 2002 [citado 15 de Outubro de 2024];9(4). Disponível em: https://revista.spmi.pt/index.php/rpmi/article/view/1877

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