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Published on: August 22, 2012
Tropheryma whipplei in children with diarrhoea in rural Ghana
C D Vinnemeier1, E M Klupp2, R Krumkamp3
1I. Department of Medicine, University Medical Centre Hamburg-Eppendorf, Hamburg, Germany; Clinical Research Group, Bernhard Nocht Institute for Tropical Medicine, Hamburg, Germany.
Insights
Tropheryma whipplei bacteria may cause diarrhea in infants. This study found young Ghanaian children (0-12 months) with diarrhea were twice as likely to carry T. whipplei, suggesting a link in first-time infections.
Area of Science:
- Microbiology
- Pediatric Infectious Diseases
- Gastroenterology
Background:
- Tropheryma whipplei is a bacterium with a hypothesized link to diarrhea.
- Limited data exists on T. whipplei's role in causing diarrhea in young children.
- Understanding causative agents of pediatric diarrhea is crucial for public health.
Purpose of the Study:
- To investigate the prevalence of Tropheryma whipplei in stool samples from children in rural Ghana.
- To determine if T. whipplei carriage is associated with diarrhea in different age groups of children.
- To explore the potential role of T. whipplei in causing diarrhea, particularly in infants.
Main Methods:
- A hospital-based case-control study was conducted.
- Stool samples were collected from 534 children aged 2 months to 15 years.
- Tropheryma whipplei presence was analyzed using molecular methods.
Main Results:
- The overall prevalence of T. whipplei in stool samples was high at 27.5%.
- No significant difference in T. whipplei carriage was observed between overall cases and controls.
- Infants aged 0-12 months with diarrhea (cases) were twice as likely to carry T. whipplei compared to controls.
Conclusions:
- The findings suggest Tropheryma whipplei may cause diarrhea in infants during their first infection.
- High prevalence indicates T. whipplei is common in this population.
- Further research is warranted to confirm the etiological role of T. whipplei in pediatric diarrhea.
Abstract:
Tropheryma whipplei has been hypothesized to be able to cause diarrhoea, but data from young children are scarce. In this hospital-based case-control study 534 stool samples of children aged between 2 months and 15 years from rural Ghana were analysed for the presence of T. whipplei. Overall stool prevalence of T. whipplei was high (27.5%). Although there was no difference in T. whipplei carriage overall between cases and controls, cases aged between 0 and 12 months carried T. whipplei in their stool twice as often as controls without diarrhoea. The results from this study may support the hypothesis that T. whipplei can cause diarrhoea in first-time infection.
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