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TitreBilateral tropheryma whipplei panuveitis
Abstract Nr.P09
ButTo report the usefulness of anterior chamber tap in the diagnosis of Ocular Whipple Disease
MéthodesCase report
RésultatsA 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.
ConclusionAnterior chamber tap can be useful in the diagnosis of Ocular Whipple Disease
Auteur 1
NomLEFEBVRE
InitialesP
InstitutHOPITAL ERASME - Ophtalmologie
VilleBruxelles
Auteur 2
NomNUBOURGH
InitialesI
InstitutHOPITAL ERASME - Médecine Interne
VilleBruxelles
Auteur 3
NomLEMY
InitialesA
InstitutHOPITAL ERASME - Médecine Interne
VilleBruxelles
Auteur 4
NomDUMAREY
InitialesN
InstitutHOPITAL ERASME - Médecine Nucléaire
VilleBruxelles
Auteur 5
NomVANDERGHEYNST
InitialesF
InstitutHOPITAL ERASME - Médecine Interne
VilleBruxelles
Auteur 6
NomDECAUX
InitialesG
InstitutHOPITAL ERASME - Médecine Interne
VilleBruxelles
Auteur 7
NomBRON
InitialesY
InstitutHOPITAL NEUROCARDIOLOGIQUE - Bactériologie
VilleLyon
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