| Literature DB >> 18726082 |
K Spengos1, A Vontzalidis, S Vassilopoulou, P Manta.
Abstract
A 39-year-old man presented pronounced asthenia and diffuse myalgias 8 months after a vaccination against the tetanus toxoid. Muscle biopsy disclosed infiltration of the perimysium and endomysium by densely packed, PAS-positive macrophages. Tropheryma whippelii detection in blood and faeces allowed the initial assumption of atypical Whipple's disease with isolated muscle involvement. However, the histological detection of aluminium-containing macrophages by means of Morin stain immunofluorescence established the diagnosis of macrophagic myofascitis in an obviously asymptomatic T. whippelii carrier.Entities:
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Year: 2008 PMID: 18726082 DOI: 10.1007/s00115-008-2526-y
Source DB: PubMed Journal: Nervenarzt ISSN: 0028-2804 Impact factor: 1.214