Evidence map›Paper›PMID 39731186›Full record

ReviewJournal of medical case reports2024

Pulmonary infection caused by Tropheryma whipplei: a case report and review of the literature.

Jianglong Shi, Ren Liu, Jiehui Qiu, Chunping Wei, Dejin Pan, Tianxin Xiang, Na Cheng

Abstract readCase ReportsReview
In one paragraph

Review in Journal of medical case reports, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

8 citing papers in PubMed.

  1. Pulmonary infection caused byTranslational pediatrics · 2026
    Article
  2. Use of metagenomic next-generation sequencing to diagnoseExperimental and therapeutic medicine · 2026
    Article
  3. PulmonaryRespirology case reports · 2026
    Article
  4. Article
  5. Review
  6. Article
  7. Article
  8. Analysis of clinical and imaging features and prognosis of patients positive forFrontiers in cellular and infection microbiology · 2025
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Jianglong ShiJiangxi Medical Center for Critical Public Health Events, The First Affiliated Hospital of Nanchang University, Nanchang, 330052, Jiangxi, People's Republic of China.
Ren LiuDepartment of Infectious disease, The First Affiliated Hospital of Nanchang University, Nanchang, 330006, China.
Jiehui QiuDepartment of Infectious disease, The First Affiliated Hospital of Nanchang University, Nanchang, 330006, China.
Chunping WeiDepartment of Infectious disease, The First Affiliated Hospital of Nanchang University, Nanchang, 330006, China.
Dejin PanDepartment of Infectious disease, The First Affiliated Hospital of Nanchang University, Nanchang, 330006, China.
Tianxin XiangJiangxi Medical Center for Critical Public Health Events, The First Affiliated Hospital of Nanchang University, Nanchang, 330052, Jiangxi, People's Republic of China.
Na ChengJiangxi Medical Center for Critical Public Health Events, The First Affiliated Hospital of Nanchang University, Nanchang, 330052, Jiangxi, People's Republic of China. chengnah@sina.com.

Funding

Science and Technology Research Project of the Education Department of Jiangxi Province GJJ2200217
6 · The paper itself

Abstract

backgroundTropheryma whipplei pneumonia is an infrequent medical condition. The clinical symptoms associated with this disease are nonspecific, often resulting in misdiagnosis or missed diagnosis. Therefore, sharing and summarizing the experiences in the diagnosis and treatment of this disease can deepen global understanding and awareness of it. CASE PRESENTATION: The patient is a 78-year-old married Han Chinese female who was admitted to the hospital after experiencing fever, dry cough, and fatigue for 4 days. A lung computed tomography scan revealed inflammatory exudation in the lower left lung, accompanied by pleural effusion. The bronchoalveolar lavage fluid was subjected to further analysis using metagenomic next-generation sequencing, which identified 41 genetic sequences associated with Tropheryma whipplei. Consequently, she was diagnosed with Tropheryma whipplei pneumonia. After initiating treatment with doxycycline and biapenem, the patient's symptoms showed significant improvement. Upon discharge, the patient continued treatment with a combination of doxycycline and hydroxychloroquine, which was discontinued after 4 days. At 12-month follow-up, the patient reported overall good health, with no symptoms of fever, cough, or any other discomfort.

conclusionTropheryma whipplei pneumonia is a rare condition with nonspecific symptoms. The application of metagenomic next-generation sequencing technology in pulmonary infections helps to rapidly identify rare pathogens, providing a solid foundation for precise and effective antibacterial treatment for patients.

Indexed as

Anti-Bacterial AgentsTropherymaAgedBronchoalveolar Lavage FluidDoxycyclineFemaleHigh-Throughput Nucleotide SequencingHumansPneumonia, BacterialTomography, X-Ray ComputedWhipple DiseaseAnti-Bacterial AgentsDoxycyclineCase reportPneumoniaTropheryma whippleiWhipple’s disease

Identifiers

PMID39731186
PMCPMC11681769

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.