Evidence map›Paper›PMID 40050769›Full record

ReviewBMC ophthalmology2025

Eyelid abscess as an initial manifestation of whipple's disease: a case report and comprehensive literature review.

Ashwaq Yahya Asiri, Khawlah A Alzaben, Yousef A AlOtaibi, Humoud Mohammad AlOtaibi, Hind Manaa Alkatan

Abstract readCase ReportsReview
In one paragraph

Review in BMC ophthalmology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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2 · The registry

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

5 authors.

Ashwaq Yahya AsiriDepartment of Ophthalmology, College of Medicine, King Khalid University, Abha, Saudi Arabia.
Khawlah A AlzabenKing Khaled Eye Specialist Hospital, Riyadh, Saudi Arabia.
Yousef A AlOtaibiOphthalmology Division, Department of surgery, College of Medicine, Bisha University, Bisha, Saudi Arabia.
Humoud Mohammad AlOtaibiKing Khaled Eye Specialist Hospital, Riyadh, Saudi Arabia.
Hind Manaa AlkatanDepartments of Ophthalmology and Pathology, College of Medicine, King Saud University, Riyadh, Saudi Arabia. hindkatan@yahoo.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundWhipple's disease, caused by Tropheryma whipplei, is a rare chronic infection predominantly affecting the gastrointestinal tract. Ocular involvement is uncommon, and periorbital manifestations are exceedingly rare. This case report highlights a unique presentation of Whipple's disease as an eyelid abscess in a patient with type 1 diabetes mellitus. CASE PRESENTATION: A 38-year-old male with poorly controlled type 1 diabetes mellitus presented with a two-weeks history of progressive swelling in the left upper eyelid. The swelling initially appeared three months prior and was associated with mild pain. Clinical examination revealed a large, erythematous, bluish, and non-tender swelling in the left upper eyelid, causing mechanical ptosis. Additional lesions were noted on the scalp and abdomen. Imaging showed a well-circumscribed fluid-filled lesion in the left upper eyelid. A tissue sample was taken for culture and biopsy during surgical drainage. The histopathology showed foamy macrophages with Diastase-resistant intracytoplasmic organisms that were further demonstrated by Gram stain confirming the diagnosis of Whipple's disease.

conclusionThis case illustrates a rare presentation of Whipple's disease manifesting as an eyelid abscess in a diabetic patient. The diagnosis was confirmed through histopathological examination, emphasizing the importance of considering Whipple's disease in the differential diagnosis of atypical ocular presentations.

Indexed as

AbscessEye Infections, BacterialEyelid DiseasesWhipple DiseaseAdultAnti-Bacterial AgentsDiabetes Mellitus, Type 1HumansMaleTropherymaAnti-Bacterial AgentsDiabetes mellitusEyelid abscessOcularTropheryma whippleiWhipple's disease

Identifiers

PMID40050769
PMCPMC11887219

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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.