Atypical diagnosis by endoscopic capsule: Whipple's disease

Whipple's disease is a chronic systemic infection produced by the actinomycete Tropheryma whipplei. Endoscopic tests are key in the diagnosis as they allow biopsy and histopathological examination for definitive diagnosis of this entity. We present a case of Whipple's disease where capsule...

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Bibliographic Details
Published in:	Revista española de enfermedades digestivas Vol. 108; no. 3; pp. 158 - 162
Main Authors:	Martínez-Sánchez, Alba, Sánchez-Ceballos, Francisco L., Fernández-Díez, Servando, Suárez-Solís, María Luisa, Asteinza-Daganzo, Matilde, Baki, Walid, Esteban, José Miguel, Rey-Díaz-Rubio, Enrique
Format:	Journal Article
Language:	Portuguese
Published:	Sociedad Española de Patología Digestiva 01-03-2016
Subjects:	Gastroenterology & Hepatology Geriatrics & Gerontology Infectious Diseases Oncology Pathology Pharmacology & Pharmacy Radiology, Nuclear Medicine & Medical Imaging Surgery Capsule endoscopy Enfermedad de Whipple Cápsula endoscópica Whipple's disease
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Summary:	Whipple's disease is a chronic systemic infection produced by the actinomycete Tropheryma whipplei. Endoscopic tests are key in the diagnosis as they allow biopsy and histopathological examination for definitive diagnosis of this entity. We present a case of Whipple's disease where capsule endoscopy, uncommon for the diagnosis of this condition, was essential for it and its performance before and after antibiotic treatment allows to describe the macroscopic evolution of the findings in the small bowel. This case illustrates the usefulness of capsule endoscopy to allow complete examination of the small bowel disease in which up to 30% of patients may present with normal endoscopy.
ISSN:	1130-0108