Lessons from practice Low attenuation lymphadenopathy on computed tomography leading to diagnosis of Whipple disease

Andrew S Vanlint, Patricia Kaazan, Marco Kwok, Robert V Bryant, Marie Ooi, Narin Bak and Sam Costello
Med J Aust 2020; 213 (4): . || doi: 10.5694/mja2.50713
Published online: 17 August 2020

A 48‐year‐old man of Eastern European origin presented to our hospital in Adelaide, Australia with a 3‐month history of increasing diarrhoea 8–10 times per day, cramping abdominal discomfort and weight loss of 8 kg. The patient had returned 3 months previously from his annual 6‐week holiday in Croatia. He had also been recently admitted to hospital with acute pulmonary oedema of uncertain aetiology, and had a 5‐year history of seronegative polyarthralgia and lethargy. He had been noted to have abdominal lymphadenopathy with splenomegaly on a computed tomography (CT) scan of the abdomen 3 years earlier, for which investigations with BCR‐ABL genetic analysis and serum protein electrophoresis showed no evidence of a lymphoproliferative disorder.

  • Andrew S Vanlint1,2
  • Patricia Kaazan1,2
  • Marco Kwok3
  • Robert V Bryant3,4
  • Marie Ooi2
  • Narin Bak5
  • Sam Costello1,3

  • 1 University of Adelaide, Adelaide, SA
  • 2 Central Adelaide Local Health Network, Adelaide, SA
  • 3 Queen Elizabeth Hospital, Adelaide, SA
  • 4 Adelaide Gastroenterology Consultants, Adelaide, SA
  • 5 Royal Adelaide Hospital, Adelaide, SA


Competing interests:

No relevant disclosures.


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