[Acute intracranial hypertension and anicteric cholestasis revealing Whipple's disease without digestive involvement].

Gastroenterol Clin Biol

Fédération d'Hépato-Gastroentérologie et INSERM U-481, Hôpital Beaujon, Clichy.

Published: January 2001

Whipple's disease is a rare infectious disease with potential central nervous system manifestations and a poor prognosis. We report the case of a young woman who presented with acute intracranial hypertension associated with cholestasis which revealed Whipple's disease without digestive involvement. The diagnosis was supported by the presence of PAS-diastase positive hepatic granulomas. A long course of antibiotics resulted in complete remission of the disease without relapse. An acute neurologic syndrome associated with cholestasis should suggest Whipple's disease.

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