Lieger, Olivier; Otto, Sven; Clemetson, Isabelle Ann; Arnold, Marlene; Iizuka, Tateyuki (2007). Orbital manifestation of whipple's disease: an atypical case. Journal of cranio-maxillo-facial surgery, 35(8), pp. 393-6. Oxford: Elsevier 10.1016/j.jcms.2007.03.005
Full text not available from this repository. (Request a copy)BACKGROUND: Whipple's disease is a systemic disorder caused by an infection with a gram-positive bacillus, Tropheryma whipplei. Almost every organ system can be affected in Whipple's disease, resulting in varying clinical symptoms. CASE REPORT: As far as we are aware, this report of a 61-year-old male is the first presenting with a periorbital manifestation of the disease, with severe exophthalmos and optic nerve involvement, leading to rapid visual loss. This emergency case was successfully treated by a surgical orbital decompression combined with systemic use of antibiotics and steroids. CONCLUSION: Whipple's disease can affect the periorbital tissues and the optic nerve, causing massive exophthalmos and serious transient visual loss. In such a case surgical decompression of the affected orbit combined with antibiotics and steroids is a recommended valid treatment option.
Item Type: |
Journal Article (Further Contribution) |
|---|---|
Division/Institute: |
04 Faculty of Medicine > Department of Head Organs and Neurology (DKNS) > Clinic of Craniomaxillofacial Surgery |
UniBE Contributor: |
Lieger, Olivier, Iizuka, Tateyuki |
ISSN: |
1010-5182 |
ISBN: |
18029189 |
Publisher: |
Elsevier |
Language: |
English |
Submitter: |
Factscience Import |
Date Deposited: |
04 Oct 2013 14:56 |
Last Modified: |
05 Dec 2022 14:17 |
Publisher DOI: |
10.1016/j.jcms.2007.03.005 |
PubMed ID: |
18029189 |
Web of Science ID: |
000252513600011 |
URI: |
https://boris.unibe.ch/id/eprint/23812 (FactScience: 44491) |
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