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Etiopathogenetic Studies in a Patient with Whipple’s Disease

 

作者: G.N. Tytgat,   J.L. Hoogendijk,   D. Agenant,   P.Th. Schellekens,  

 

期刊: Digestion  (Karger Available online 1977)
卷期: Volume 15, issue 4  

页码: 309-321

 

ISSN:0012-2823

 

年代: 1977

 

DOI:10.1159/000198017

 

出版商: S. Karger AG

 

关键词: Haemophilus influenzae;Hypersensitivity;delayed;Whipple’s disease

 

数据来源: Karger

 

摘要:

A patient is presented with Whipple’s disease. Before treatment, Haemophilus influenzae type e, sensitive to tetracycline was cultured from multiple small intestinal biopsies. This isolated micro-organism was structurally similar to the one observed in the tissue. All further culture experiments during and after treatment proved negative except for one biopsy from which a tetracycline-resistant H. influenzae type-e mutant was isolated. The immunological disturbances, mainly characterized by cutaneous anergy, in absence of major humoral or in vitro lymphocytic impairment, regressed during treatment together with clinical remission of the disease. These findings are considered in favour of the secondary nature of the immunological abnormalitie

 

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