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Volume 27, Number 3—March 2021
Dispatch

Tropheryma whipplei in Feces of Patients with Diarrhea in 3 Locations on Different Continents

Gerhard E. FeurleComments to Author , Verena Moos, Olfert Landt, Craig Corcoran, Udo Reischl, and Matthias Maiwald
Author affiliations: DRK Krankenhaus, Neuwied, Germany (G.E. Feurle); Charité–Universitätsmedizin Berlin, Berlin, Germany (V. Moos); TIB MOLBIOL Syntheselabor GmbH, Berlin, Germany (O. Landt); National Reference Laboratory AMPATH, Centurion, South Africa (C. Corcoran); Institute of Clinical Microbiology and Hygiene, University Hospital Regensburg, Regensburg, Germany (U. Reischl); KK Women’s and Children’s Hospital, Singapore (M. Maiwald); National University of Singapore, Singapore (M. Maiwald); Duke-National University of Singapore Graduate Medical School, Singapore (M. Maiwald)

Main Article

Table 1

Frequency distribution of fecal pathogens in South Africa, Singapore, and Germany*

Location No. (%)
Centurion, South Africa, 97 specimens
Tropheryma whipplei 17 (17.53)
Shigella spp. 15 (15.46)
Rotavirus A 7 (7.22)
Adenovirus type F, 40, 41 5 (5.15)
Salmonella spp. 4 (4.12)
Campylobacter spp. 4 (4.12)
Blastocystis hominis 4 (4.12)
Cryptosporidium spp. 4 (4.12)
Giardia lamblia 4 (4.12)
Yersinia enterocolitica 1 (1.03)
Escherichia coli, EPEC, EHEC 1 (1.03)
Aeromonas hydrophila 1 (1.03)
Plesiomonas shigelloides 0
No infective agent detected 55 (56.70)
T. whipplei solo
 8 (8.25)
Singapore, 193 specimens
Rotavirus A 73 (37.82)
Norovirus GG1/2 35 (18.13)
T. whipplei 29 (15.03)
Salmonella spp. 24 (12.44)
Campylobacter spp. 17 (8.81)
A. hydrophila 10 (5.18)
Sapovirus 9 (4.66)
Astrovirus 8 (4.15)
Adenovirus type F, 40, 41 5 (2.59)
G. lamblia 2 (1.04)
Dientamoeba fragilis 2 (1.04)
Shigella spp. 1 (0.52)
B. hominis 1 (0.52)
Vibrio spp. 0
Entamoeba histolytica 0
Y. enterocolitica 0
Cryptosporidium spp. 0
No infective agent detected 55 (28.50)
T. whipplei solo
 2 (1.04)
Regensburg, Germany, 300 specimens
Clostridioides difficile 28 (9.33)
T. whipplei 10 (3.33)
B. hominis 10 (3.33)
Campylobacter spp. 8 (2.66)
G. lamblia 8 (2.66)
Salmonella spp. 3 (1.00)
Y. enterocolitica 2 (0.66)
A. hydrophila 2 (0.66)
Shigella spp. 1 (0.33)
D. fragilis 1 (0.33)
Cryptosporidium spp. 0)
E. histolytica 0
No infective agent detected 242 (80.66)
T. whipplei solo 7 (2.33)

*More than 1 pathogen was detected in some fecal specimens. T. whipplei solo indicates that T. whipplei was the sole organism detected. EPEC, enteropathogenic Escherichia coli; EHEC, enterohemorrhagic Escherichia coli.

Main Article

Page created: February 10, 2021
Page updated: February 21, 2021
Page reviewed: February 21, 2021
The conclusions, findings, and opinions expressed by authors contributing to this journal do not necessarily reflect the official position of the U.S. Department of Health and Human Services, the Public Health Service, the Centers for Disease Control and Prevention, or the authors' affiliated institutions. Use of trade names is for identification only and does not imply endorsement by any of the groups named above.
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