Introduction: Whipple’s disease is a rare, infectious disease caused by the bacterium Tropheryma whipplei that affects multiple organs and systems. It is difficult to identifyand frequently presents as a diagnosis of exclusion due existence of conditions causing most prevalent chronic diarrhea, as AIDS and Inflammatory Bowel Disease. Case report: Herein we report the clinical findings of a 38-year-old male patient, married with a HIV seropositive woman, with a four-year course of chronic diarrhea until he received a definitive diagnosis. Treatment was started with a 15-day penicillin G regimen, followed by continued trimethoprim–sulfamethoxazole 80/400mg after hospital discharge up to current days. Conclusion: Currently, the patient remains asymptomatic and has completed clinical remission after two years of treatment.
Severe imported malaria is a clinically significant problem in non-endemic areas. We report two cases of travelers with Plasmodium falciparum infection who traveled from Africa and came home to a Brazilian non-endemic region. The epidemiology and diagnostic aspects of severe imported malaria for travel medicine clinicians in non-endemic regions are reviewed.
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