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Title	Bilateral tropheryma whipplei panuveitis
Abstract Nr.	P09

Purpose	To report the usefulness of anterior chamber tap in the diagnosis of Ocular Whipple Disease
Methods	Case report
Results	A 57 year old caucasian man presented with a 6 months history of decreased visual acuity in both eyes (1/10 right eye - 3/10 left eye), and a fever of unknown origin. Two years previously a Behçet disease had been diagnosed and 2 immunosuppressive agents had been started. Ophthalmic examination disclosed a bilateral granulomatous uveitis with posterior synechiae, vitritis, papillitis, macular edema, and retinal hemorrhages. PCR analysis on aqueous humor is positive for Tropheryma whipplei. A treatment with intravenous ceftriaxone is initialized and followed by oral sulfamethoxazole and trimethoprime. Visual acuity gradually improves to 10/10 in both eyes.
Conclusion	Anterior chamber tap can be useful in the diagnosis of Ocular Whipple Disease

Author 1

Last name	LEFEBVRE
Initials	P
Department	HOPITAL ERASME - Ophtalmologie
City	Bruxelles

Author 2

Last name	NUBOURGH
Initials	I
Department	HOPITAL ERASME - Médecine Interne
City	Bruxelles

Author 3

Last name	LEMY
Initials	A
Department	HOPITAL ERASME - Médecine Interne
City	Bruxelles

Author 4

Last name	DUMAREY
Initials	N
Department	HOPITAL ERASME - Médecine Nucléaire
City	Bruxelles

Author 5

Last name	VANDERGHEYNST
Initials	F
Department	HOPITAL ERASME - Médecine Interne
City	Bruxelles

Author 6

Last name	DECAUX
Initials	G
Department	HOPITAL ERASME - Médecine Interne
City	Bruxelles

Author 7

Last name	BRON
Initials	Y
Department	HOPITAL NEUROCARDIOLOGIQUE - Bactériologie
City	Lyon