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Vinnemeier CD, Klupp EM, Krumkamp R, Rolling T, Fischer N, Owusu-Dabo E, Addo MM, Adu-Sarkodie Y, Käsmaier J, Aepfelbacher M, Cramer JP, May J, Tannich E. Tropheryma whipplei in children with diarrhoea in rural Ghana. Clin Microbiol Infect 2015; 22:65.e1-65.e3. [PMID: 26456475 DOI: 10.1016/j.cmi.2015.09.022] [Citation(s) in RCA: 19] [Impact Index Per Article: 2.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/24/2015] [Accepted: 09/24/2015] [Indexed: 11/29/2022]
Abstract
Tropheryma whipplei has been hypothesized to be able to cause diarrhoea, but data from young children are scarce. In this hospital-based case-control study 534 stool samples of children aged between 2 months and 15 years from rural Ghana were analysed for the presence of T. whipplei. Overall stool prevalence of T. whipplei was high (27.5%). Although there was no difference in T. whipplei carriage overall between cases and controls, cases aged between 0 and 12 months carried T. whipplei in their stool twice as often as controls without diarrhoea. The results from this study may support the hypothesis that T. whipplei can cause diarrhoea in first-time infection.
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Affiliation(s)
- C D Vinnemeier
- I. Department of Medicine, University Medical Centre Hamburg-Eppendorf, Hamburg, Germany; Clinical Research Group, Bernhard Nocht Institute for Tropical Medicine, Hamburg, Germany.
| | - E M Klupp
- Department for Medical Microbiology, Virology and Hygiene, University Medical Center Hamburg-Eppendorf, Hamburg, Germany
| | - R Krumkamp
- Infectious Diseases Epidemiology, Bernhard Nocht Institute for Tropical Medicine, Hamburg, Germany
| | - T Rolling
- I. Department of Medicine, University Medical Centre Hamburg-Eppendorf, Hamburg, Germany; Clinical Research Group, Bernhard Nocht Institute for Tropical Medicine, Hamburg, Germany
| | - N Fischer
- Department for Medical Microbiology, Virology and Hygiene, University Medical Center Hamburg-Eppendorf, Hamburg, Germany
| | - E Owusu-Dabo
- Kumasi Centre for Collaborative Research in Tropical Medicine, Kumasi, Ghana
| | - M M Addo
- I. Department of Medicine, University Medical Centre Hamburg-Eppendorf, Hamburg, Germany
| | - Y Adu-Sarkodie
- Faculty of Medicine, Kwame Nkrumah University of Science and Technology, Kumasi, Ghana
| | - J Käsmaier
- Molecular Parasitology, Bernhard Nocht Institute for Tropical Medicine, Hamburg, Germany
| | - M Aepfelbacher
- Department for Medical Microbiology, Virology and Hygiene, University Medical Center Hamburg-Eppendorf, Hamburg, Germany
| | - J P Cramer
- I. Department of Medicine, University Medical Centre Hamburg-Eppendorf, Hamburg, Germany; Takeda Pharmaceuticals, Vaccine Business Unit, Zurich, Switzerland
| | - J May
- Infectious Diseases Epidemiology, Bernhard Nocht Institute for Tropical Medicine, Hamburg, Germany
| | - E Tannich
- Molecular Parasitology, Bernhard Nocht Institute for Tropical Medicine, Hamburg, Germany
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