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Whipple disease and central nervous system [Doença de whipple e sistema nervoso central]

Title
Whipple disease and central nervous system [Doença de whipple e sistema nervoso central]
Type
Another Publication in an International Scientific Journal
Year
2005
Authors
Pedro Abreu
(Author)
Other
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Elsa Azevedo
(Author)
FMUP
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Lobo, L
(Author)
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Moura, CS
(Author)
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Pontes, C
(Author)
Other
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Journal
Vol. 18 No. 4
Pages: 199-208
ISSN: 0870-399X
Publisher: Ordem dos Medicos
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Authenticus ID: P-007-DMW
Abstract (EN): Whipple disease (WD) is a rare systemic infection caused by the bacteria Tropheryma whipplei. Slowly progressive dementia, supranuclear ophthalmoplegia, headache, myoclonus, hypothalamic dysfunction, oculomasticatory-skeletal myorythmia are characteristic manifestations when WD involves the central nervous system (CNS). Treatment of cerebral WD should be performed with antibiotics that reach the CNS for at the least one-year. We alert for the early diagnosis of WD in patients with exclusively neurological clinical pictures, sometimes with atypical or non-definitive diagnosis, because it is a potential treatable disease.
Language: Portuguese
Type (Professor's evaluation): Scientific
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