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European Journal of Echocardiography Advance Access originally published online on March 30, 2008
European Journal of Echocardiography 2008 9(3):426-427; doi:10.1093/ejechocard/jen022
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Published on behalf of the European Society of Cardiology. All rights reserved. © The Author 2008. For permissions please email: journals.permissions@oxfordjournals.org

Cardiac complications in Whipple's disease

Alexander Hansen* and Derliz Mereles

Department of Cardiology, Klinik Koesching, University Heidelberg, Krankenhausstr. 19, D-85092 Koesching, Germany

Received 2 November 2007; accepted after revision 23 December 2007; online publish-ahead-of-print 30 March 2008.

* Corresponding author. E-mail address: alexander_hansen{at}klinik-koesching.de


  Abstract

Whipple's disease or intestinal lipodystrophy is an infection induced by Tropheryma whipplei. It is rare with an estimated incidence of 0.4 per million. Symptoms are arthropathy, weight loss, and diarrhoea, but other organs notably the central nervous system may be affected. We demonstrate a case of cardiac complications in Whipple's disease. The patient presented with endocardial infiltrations on TEE examinations and heart failure and improved after antibiotic treatment.

Keywords: Echocardiography; Whipple's disease; Heart failure


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