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TitelBilateral tropheryma whipplei panuveitis
Abstract Nr.P09
DoelTo report the usefulness of anterior chamber tap in the diagnosis of Ocular Whipple Disease
MethodesCase report
ResultatenA 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.
ConclusieAnterior chamber tap can be useful in the diagnosis of Ocular Whipple Disease
Auteur 1
NaamLEFEBVRE
InitialenP
InstituutHOPITAL ERASME - Ophtalmologie
StadBruxelles
Auteur 2
NaamNUBOURGH
InitialenI
InstituutHOPITAL ERASME - Médecine Interne
StadBruxelles
Auteur 3
NaamLEMY
InitialenA
InstituutHOPITAL ERASME - Médecine Interne
StadBruxelles
Auteur 4
NaamDUMAREY
InitialenN
InstituutHOPITAL ERASME - Médecine Nucléaire
StadBruxelles
Auteur 5
NaamVANDERGHEYNST
InitialenF
InstituutHOPITAL ERASME - Médecine Interne
StadBruxelles
Auteur 6
NaamDECAUX
InitialenG
InstituutHOPITAL ERASME - Médecine Interne
StadBruxelles
Auteur 7
NaamBRON
InitialenY
InstituutHOPITAL NEUROCARDIOLOGIQUE - Bactériologie
StadLyon
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