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R. Sutherland, K. Russell, P. Trivedi, B. Warren, R. Smith, C. Conlon (2014)
A constricting differential--a case of severe anaemia, weight loss and pericarditis due to Tropheryma whipplei infection.QJM : monthly journal of the Association of Physicians, 107 11
846 | QJM: An International Journal of Medicine, 2015, Vol. 108, No. 10 QJM: An International Journal of Medicine, 2015, 846 doi: 10.1093/qjmed/hcv048 Advance Access Publication Date: 20 February 2015 1 2 3 4 2 R.K. Sutherland , K.V. Russell , P.J. Trivedi , C.P. Conlon and R.W. Smith From the Regional Infectious Diseases Unit, Western General Hospital, Crewe Road South, Edinburgh EH4 2XU, UK, Department of Acute General Medicine, Milton Keynes FT Hospital, Standing Way, Eaglestone, Milton Keynes, Buckinghamshire MK6 5LD, UK, Department of Hepatology, University Hospitals Birmingham Edgbaston, Birmingham B15 2TH, UK and Department of Infectious Diseases and Microbiology, Oxford University NHS Trust, John Radcliffe Hospital, Headley Way, Headington, Oxford OX3 9DU, UK Address correspondence to Rebecca Sutherland. email: rebecca.sutherland@nhslothian.scot.nhs.uk We thank Dr Jolobe for his helpful comments. The patient Reference described in our case report did indeed demonstrate a marked 1. Sutherland RK, Russell KV, Tridevi PJ, Smith RW, Conlon CP. A elevation of the jugular venous pressure (JVP) up to the angle of constricting differential—a case of severe anaemia, weight the jaw, and this did not reduce despite an initial trial of diur- loss and pericarditis due to Tropheryma whipplei infection. QJ etic. Improvement with resolution of signs occurred rapidly fol- Med 2014; 107:927–9. lowing definitive surgical treatment. We are also pleased to report that the patient has recently been reviewed in the outpatient clinic and remains in good health.
QJM: An International Journal of Medicine – Oxford University Press
Published: Oct 20, 2015
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