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Volume 16, Number 5—May 2010

CME ACTIVITY

Tropheryma whipplei in Children with Gastroenteritis

Didier RaoultComments to Author , Florence Fenollar, Jean-Marc Rolain, Philippe Minodier, Emmanuelle Bosdure, Wenjun Li, Jean-Marc Garnier, and Hervé Richet
Author affiliations: Université de la Méditerranée, Marseille, France (D. Raoult, F. Fenollar, J.-M. Rolain, W. Li, H. Richet); Pôle de Maladies Infectieuses, Marseille (D. Raoult, F. Fenollar, J.-M. Rolain, H. Richet); Hôpital Nord, Marseille (P. Minodier. J.-M Garnier); Hôpital de la Timone, Marseille (E. Bosdure)

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Table 2

Microbiologic data for stool specimens of 241 children, Marseille, France*

Pathogen T. whipplei–positive children
T. whipplei–negative children
Bacterial load 
<104/g of stool Bacterial load 
>104/g of stool All
Any other 8/13 5/23 13/36 36/205
Bacteria
Salmonella sp. 1 (1 with Giardia duodenalis) 2 3 (1 with G. duodenalis) 2
Other
1 with Campylobacter jejuni (also associated with rotavirus)
0
1 with C. jejuni (also associated with rotavirus)
5 (1 C. jejuni, 1 Escherichia coli O26:B6, 1 E. coli O126:B16 with 
1 rotavirus, 1 Shigella sonnei, and 
1 Yersinia enterocolitica)
Viruses
Rotavirus 5 3 8 (1 also associated with C. jejuni) 21
Other 2 (1 adenovirus and 
1 calicivirus) 0 2 (1 adenovirus and 
1 calicivirus) 9 (4 enterovirus, 3 adenovirus, 
and 2 calicivirus)

*Testing for Tropheryma whipplei was conducted by using PCR.

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