Article
Acquired resistance to trimethoprim-sulfamethoxazole during Whipple disease and expression of the causative target gene.
The Journal of infectious diseases - 1 Jul 2008
Bakkali Nawal, Fenollar Florence, Biswas Silpak, Rolain Jean-Marc, Raoult Didier
Abstract excerpt
BACKGROUND: Whipple disease is a chronic infection caused by Tropheryma whipplei. Trimethoprim-sulfamethoxazole is recommended for treatment of Whipple disease but is associated with treatment failure. T. whipplei is resistant in vitro to trimethoprim, because the gene targeted by this agent is missing. METHODS: A patient experienced clinical failure during treatment with trimethoprim-sulfamethoxazole. The gene...
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