Doença de Whipple e sistema nervoso central.

Autores

  • Pedro Abreu Serviço de Neurologia, Hospital de S. João, Porto.
  • Elsa Azevedo
  • Luís Lobo
  • Conceição Souto Moura
  • Celso Pontes

DOI:

https://doi.org/10.20344/amp.1023

Resumo

Whipple disease (WD) is a rare systemic infection caused by the bacteria Tropheryma whipplei. Slowly progressive dementia, supranuclear ophthalmoplegia, headache, myoclonus, hypothalamic dysfunction, oculomasticatory-skeletal myorythmia are characteristic manifestations when WD involves the central nervous system (CNS). Treatment of cerebral WD should be performed with antibiotics that reach the CNS for at the least one-year. We alert for the early diagnosis of WD in patients with exclusively neurological clinical pictures, sometimes with atypical or non-definitive diagnosis, because it is a potential treatable disease.

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1.
Abreu P, Azevedo E, Lobo L, Moura CS, Pontes C. Doença de Whipple e sistema nervoso central. Acta Med Port [Internet]. 30 de Junho de 2005 [citado 27 de Setembro de 2024];18(3):199-208. Disponível em: https://actamedicaportuguesa.com/revista/index.php/amp/article/view/1023

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