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Case Reports
. 2012 Jan;8(1):60-3.

A rare intestinal infection with systemic effects

Randy S Longman  1 , Roger K Moreira, Dan R Littman, Peter H R Green, Amrita Sethi
Affiliations
Case Reports

A rare intestinal infection with systemic effects

Randy S Longman et al. Gastroenterol Hepatol (N Y). 2012 Jan.
No abstract available

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Figures

Figure 1
Figure 1
A computed tomography scan of the abdomen revealed mesenteric lymphadenopathy adjacent to unopacified loops of the small bowel.
Figure 2
Figure 2
An esophagogastroduodenoscopy revealed prominent folds and white punctate mucosal patches with an overlying yellowish exudate in the second part of the duodenum.
Figure 3
Figure 3
A duodenal biopsy revealed extensive replacement of the lamina propria by sheets of foamy macrophages that were positive for periodic acid-Schiff stain (200× magnification; A). Tropheryma whipplei immunohistochemistry (polyclonal rabbit antibody, 100× magnification; B). Figure 3B courtesy of Dr. Christina A. Arnold, Johns Hopkins University, Baltimore, Maryland.
Figure 4
Figure 4
Flow cytometry of lamina propria mononuclear cells (LPMCs) or peripheral blood mononuclear cells (PBMCs) was performed in CD3+/CD4+ cells activated with phorbol myristate acetate/ionomycin for 4 hours. Production of interleukin (IL)-17 is noted on the y-axis, while production of interferon (IFN)-γ or IL-4 is noted on the x-axis. The percentage of cells positive for each respective marker is indicated.
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