Whipple disease is a rare systemic illness associated with weight loss, diarrhea, and arthralgia. Asymptomatic carriage is common, but the disease can be complicated by cardiac involvement and may result in culture-negative endocarditis. Cardiac manifestations of the disease can lead to death. This report presents the case of a 66-year-old man with Whipple disease and biventricular heart failure with cardiogenic shock. Medical therapy followed by successful replacement of the aortic and mitral valves resulted in substantial improvement.
Keyphrases
- heart failure
- left ventricular
- weight loss
- aortic valve
- atrial fibrillation
- healthcare
- bariatric surgery
- cardiac resynchronization therapy
- type diabetes
- stem cells
- body mass index
- coronary artery disease
- mesenchymal stem cells
- roux en y gastric bypass
- pulmonary hypertension
- clostridium difficile
- smoking cessation
- transcatheter aortic valve replacement
- transcatheter aortic valve implantation
- glycemic control