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Bilateral panuveitis associated with Whipple disease - case report.
Maria Lisboa1, Isabel Domingues1, Jaime Pamplona2
1Ophthalmology Department, Centro Hospitalar de Lisboa Central EPE, Lisbon, Portugal.
Whipple disease, a rare condition, can present with neurological and ocular symptoms like panuveitis and stroke. Early diagnosis and treatment are crucial for improving patient outcomes.
Area of Science:
- Ophthalmology
- Neurology
- Infectious Diseases
Background:
- Whipple disease is a rare, systemic infectious disease caused by Tropheryma whipplei.
- It commonly affects the gastrointestinal tract but can manifest with diverse neurological and ocular symptoms.
Observation:
- A 65-year-old male presented with decreased visual acuity, hearing loss, vertigo, and limb weakness.
- Clinical examination revealed bilateral panuveitis and an ischemic cerebellar stroke.
Findings:
- Diagnosis was confirmed via histopathological analysis of adenopathy.
- The patient showed significant clinical improvement following cortico-antibiotic therapy.
Implications:
- Whipple disease should be considered in cases of unexplained panuveitis, even without typical gastrointestinal symptoms.
- Prompt diagnosis and treatment are vital to prevent potentially fatal complications.
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