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A Case of Community Acquired Clostridium difficile and Tropheryma whipplei Co-infection Causing Persistent Joint Pain
Krati Chauhan*
Division of Rheumatology, Department of Internal Medicine, Southern Illinois University, Illinois, USA
- *Corresponding Author:
- Krati Chauhan
Division of Rheumatology
Department of Internal Medicine
Southern Illinois University, Springfield
Illinois 62701, USA
Tel: 217-545-0184
Fax: 217-545-4485
E-mail: kchauhan85@siumed.edu
Received date: May 17, 2016; Accepted date: June 22, 2016; Published date: June 28, 2016
Citation: Chauhan K (2016) A Case of Community Acquired Clostridium difficile and Tropheryma whipplei Co-infection Causing Persistent Joint Pain. J Ost Arth 1:113.
Copyright: © 2016 Chauhan K. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
Abstract
Joint pain is a common presenting symptom seen in the outpatient setting. Accurate diagnosis is imperative for providing optimal patient care. Our patient is a 50 year old male who presented with many years of joint pain affecting multiple joints. He was diagnosed with seronegative Rheumatoid arthritis. Despite treatment with immunosuppressive medications, his joint symptoms persisted and he developed abdominal pain and diarrhoea. In light of these gastrointestinal manifestations, his diagnosis was changed to Chron’s disease, and his medications were modified. Yet, his joint and abdominal symptoms remained unremitted; hence he underwent further investigations which led to the diagnosis of Whipple’s disease co-infected with Clostridium difficile. To the author’s knowledge co-infection of Whipple's disease with Clostridium difficile has not been previously reported. Community acquired Clostridium difficile infection has been a growing health concern. It can co-infect with other pathogens, confounding the clinical picture.
