What is a characteristic bacterium associated with Whipple disease?

Study for the USMLE Step 2 CK Exam. Prepare with flashcards and multiple choice questions, each question has hints and explanations. Get ready for your exam!

Whipple disease is caused by a specific type of bacteria known as Tropheryma whippelii. This organism is an intracellular pathogen that primarily infects the gastrointestinal tract, leading to a variety of systemic symptoms due to its ability to impair nutrient absorption and induce inflammation. Characteristic features of Whipple disease include malabsorption, weight loss, diarrhea, and potentially severe complications affecting multiple systems such as the joints and central nervous system.

The diagnosis of Whipple disease often relies on a combination of clinical suspicion, endoscopic biopsies, and histological examination, where the presence of Tropheryma whippelii can be confirmed through special staining techniques such as PAS (periodic acid-Schiff) staining. The identification of this specific bacterium as the causative agent is crucial for treatment, which typically involves prolonged antibiotic therapy to eliminate the infection and manage symptoms effectively. The other bacteria listed do not cause Whipple disease and are associated with different clinical conditions.

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