Whipple’s endocarditis is a rare infectious condition caused by the bacterium Tropheryma whipplei. Although its systemic form is the most widely recognized, the infection exhibits a broad spectrum of extraintestinal manifestations, with blood culture-negative infective endocarditis being the most common form of cardiac involvement. The case presented in this study underscores the importance of clinical investigation for accurate diagnosis and the application of appropriate treatment.
Whipple’s Disease as a Differential Diagnosis of Blood Culture-Negative Endocarditis: A Case Report
SoaresCK, SilvaRCR, Brasileiro FilhoG, GelapeCL, Rosa JúniorJF, PassagliaLG. Whipple’s Disease as a Differential Diagnosis of Blood Culture-Negative Endocarditis: A Case Report. Arq. Bras. Cardiol. 2025;122(7):e20240207.
Soares,Carolina Kuchenbecker; Silva,Rafaela Clara Resende da; Brasileiro Filho,Geraldo; Gelape,Claudio Leo; Rosa Júnior,Jésus Faria; Passaglia,Luiz Guilherme. Whipple’s Disease as a Differential Diagnosis of Blood Culture-Negative Endocarditis: A Case Report. Arq. Bras. Cardiol., v. 122, n. 7, e20240207, Jul. 2025.
Soares,C.K., Silva,R.C.R. , Brasileiro Filho,G., Gelape,C.L., Rosa Júnior,J.F., & Passaglia,L.G. (2025). Whipple’s Disease as a Differential Diagnosis of Blood Culture-Negative Endocarditis: A Case Report. Arq. Bras. Cardiol.,122(7), e20240207.
Soares,Carolina Kuchenbecker and Silva,Rafaela Clara Resende da and Brasileiro Filho,Geraldo and Gelape,Claudio Leo and Rosa Júnior,Jésus Faria and Passaglia,Luiz Guilherme. Whipple’s Disease as a Differential Diagnosis of Blood Culture-Negative Endocarditis: A Case Report. Arq. Bras. Cardiol. [online]. 2025, vol. 122, n. 7, [cited 2025-09-07], e20240207. Available from: <https://abccardiol.org/en/article/whipples-disease-as-a-differential-diagnosis-of-blood-culture-negative-endocarditis-a-case-report/>. ISSN 0066-782X.
Figure 1
– A) Visible mass on transthoracic echocardiography (parasternal long-axis view); B) Aortic regurgitation associated with the lesion in the parasternal long-axis view; C) Aortic regurgitation in the apical five-chamber view.