Whipple's Disease Manifested as Recurrent Ascites.
Cureus
; 9(3): e1108, 2017 Mar 21.
Article
em En
| MEDLINE
| ID: mdl-28439483
ABSTRACT
Whipple's disease commonly presents as chronic diarrhea and abdominal pain. Ascites is an uncommon presentation of Whipple's disease. Here, we report a rare case of a 47-year-old male who presented with diarrhea and abdominal distention for three months. The physical examination was significant for ascites. Serum albumin was low and serum-to-ascites albumin gradient was < 1.1 g/dl. This suggested that ascites was less likely to be present due to portal hypertension. Enteroscopy showed erythematous duodenum and jejunum; biopsy was suggestive of periodic acid-Schiff stain (PAS) positive macrophages consistent with Whipple's disease. During the hospital course, the patient improved with intravenous (IV) ceftriaxone.
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MEDLINE
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En
Ano de publicação:
2017
Tipo de documento:
Article