Previous Article | Next Article 
Appl Environ Microbiol, February 1998, p. 760-762, Vol. 64, No. 2
0099-2240/98/$04.00+0
Copyright © 1998, American Society for Microbiology. All rights reserved.
Environmental Occurrence of the Whipple's Disease
Bacterium (Tropheryma whippelii)
Matthias
Maiwald,1,*
Frank
Schuhmacher,1
Hans-Jürgen
Ditton,1 and
Axel
von Herbay2
Hygiene-Institut der Universität,
Abteilung Hygiene und Medizinische
Mikrobiologie,1 and
Pathologisches
Institut der Universität,2 69120 Heidelberg, Germany
Received 8 September 1997/Accepted 5 November 1997
Whipple's disease is a systemic disorder in which a gram-positive
rod-shaped bacterium is constantly present in infected tissues. After
numerous unsuccessful attempts to culture this bacterium, it was
eventually characterized by 16S rRNA gene analysis to be a member of
the actinomycetes. The name Tropheryma whippelii was proposed. Until now, the bacterium has only been found in infected human tissues, but there is no evidence for human-to-human
transmission. Here we report the detection of DNA specific for the
Whipple's disease bacterium in 25 of 38 wastewater samples from five
different sewage treatment plants in the area of Heidelberg, Germany.
These findings provide the first evidence that T. whippelii
occurs in the environment, within a polymicrobial community. This is in accordance with the phylogenetic relationship of this bacterium as well
as with known epidemiological aspects of Whipple's disease. Our data
argue for an environmental source for infection with the Whipple's
disease bacterium.
*
Corresponding author. Mailing address: Hygiene-Institut
der Universität Heidelberg, Im Neuenheimer Feld 324, 69120 Heidelberg, Germany. Phone: 49-6221-567815. Fax: 49-6221-564343. E-mail: un69mm{at}genius.embnet.dkfz-heidelberg.de.
This article has been cited by other articles:
-
Patel, S. J., Huard, R. C., Keller, C., Foca, M.
(2008). Possible Case of CNS Whipple's Disease in an Adolescent With AIDS. J Int Assoc Physicians AIDS Care (Chic Ill)
7: 69-73
[Abstract]
-
Li, W., Fenollar, F., Rolain, J.-M., Fournier, P.-E., Feurle, G. E., Muller, C., Moos, V., Marth, T., Altwegg, M., Calligaris-Maibach, R. C., Schneider, T., Biagi, F., La Scola, B., Raoult, D.
(2008). Genotyping reveals a wide heterogeneity of Tropheryma whipplei. Microbiology
154: 521-527
[Abstract]
[Full Text]
-
Ventura, M., Canchaya, C., Tauch, A., Chandra, G., Fitzgerald, G. F., Chater, K. F., van Sinderen, D.
(2007). Genomics of Actinobacteria: Tracing the Evolutionary History of an Ancient Phylum. Microbiol. Mol. Biol. Rev.
71: 495-548
[Abstract]
[Full Text]
-
Schoniger-Hekele, M., Petermann, D., Weber, B., Muller, C.
(2007). Tropheryma whipplei in the Environment: Survey of Sewage Plant Influxes and Sewage Plant Workers. Appl. Environ. Microbiol.
73: 2033-2035
[Abstract]
[Full Text]
-
Fenollar, F., Puechal, X., Raoult, D.
(2007). Whipple's Disease. NEJM
356: 55-66
[Full Text]
-
Raoult, D., Fenollar, F., Birg, M.-L.
(2006). Culture of T. whipplei from the Stool of a Patient with Whipple's Disease. NEJM
355: 1503-1505
[Full Text]
-
Moos, V., Kunkel, D., Marth, T., Feurle, G. E., LaScola, B., Ignatius, R., Zeitz, M., Schneider, T.
(2006). Reduced Peripheral and Mucosal Tropheryma whipplei-Specific Th1 Response in Patients with Whipple's Disease. J. Immunol.
177: 2015-2022
[Abstract]
[Full Text]
-
Crapoulet, N., Barbry, P., Raoult, D., Renesto, P.
(2006). Global Transcriptome Analysis of Tropheryma whipplei in Response to Temperature Stresses.. J. Bacteriol.
188: 5228-5239
[Abstract]
[Full Text]
-
Desnues, B., Ihrig, M., Raoult, D., Mege, J.-L.
(2006). Whipple's Disease: a Macrophage Disease. CVI
13: 170-178
[Full Text]
-
Crapoulet, N., Robineau, S., Raoult, D., Renesto, P.
(2005). Intervening Sequence Acquired by Lateral Gene Transfer in Tropheryma whipplei Results in 23S rRNA Fragmentation. Appl. Environ. Microbiol.
71: 6698-6701
[Abstract]
[Full Text]
-
Fenollar, F., Fournier, P.-E., Raoult, D., Gerolami, R., Lepidi, H., Poyart, C.
(2002). Quantitative Detection of Tropheryma whipplei DNA by Real-Time PCR. J. Clin. Microbiol.
40: 1119-1120
[Full Text]
-
Liang, Z., La Scola, B., Raoult, D.
(2002). Monoclonal Antibodies to Immunodominant Epitope of Tropheryma whipplei. CVI
9: 156-159
[Abstract]
[Full Text]
-
Dutly, F., Altwegg, M.
(2001). Whipple's Disease and ""Tropheryma whippelii"". Clin. Microbiol. Rev.
14: 561-583
[Abstract]
[Full Text]
-
Drancourt, M., Carlioz, A., Raoult, D.
(2001). rpoB Sequence Analysis of Cultured Tropheryma whippelii. J. Clin. Microbiol.
39: 2425-2430
[Abstract]
[Full Text]
-
Raoult, D., La Scola, B., Lecocq, P., Lepidi, H., Fournier, P.-E.
(2001). Culture and Immunological Detection of Tropheryma whippelii From the Duodenum of a Patient With Whipple Disease. JAMA
285: 1039-1043
[Abstract]
[Full Text]
-
Maiwald, M., Herbay, A. v., Persing, D. H., Mitchell, P. S., Abdelmalek, M. F., Thorvilson, J. N., Fredricks, D. N., Relman, D. A.
(2001). Tropheryma whippelii DNA Is Rare in the Intestinal Mucosa of Patients without Other Evidence of Whipple Disease. ANN INTERN MED
134: 115-119
[Abstract]
[Full Text]
-
Fenollar, F., Raoult, D.
(2001). Whipple's Disease. CVI
8: 1-8
[Full Text]
-
Misbah, S A, Mapstone, N P
(2000). Whipple's disease revisited. J. Clin. Pathol.
53: 750-755
[Abstract]
[Full Text]
-
Maiwald, M., von Herbay, A., Lepp, P. W., Relman, D. A.
(2000). Organization, Structure, and Variability of the rRNA Operon of the Whipple's Disease Bacterium (Tropheryma whippelii). J. Bacteriol.
182: 3292-3297
[Abstract]
[Full Text]
-
ANDERSON, M.
(2000). Neurology of Whipple's disease. J. Neurol. Neurosurg. Psychiatry
68: 2-5
[Full Text]
-
Gubler, J. G.H., Kuster, M., Dutly, F., Bannwart, F., Krause, M., Vogelin, H. P., Garzoli, G., Altwegg, M.
(1999). Whipple Endocarditis without Overt Gastrointestinal Disease: Report of Four Cases. ANN INTERN MED
131: 112-116
[Abstract]
[Full Text]
-
Raoult, D.
(1999). Afebrile Blood Culture-Negative Endocarditis. ANN INTERN MED
131: 144-146
[Full Text]
-
Hinrikson, H. P., Dutly, F., Altwegg, M.
(1999). Homogeneity of 16S-23S Ribosomal Intergenic Spacer Regions of Tropheryma whippelii in Swiss Patients with Whipple's Disease. J. Clin. Microbiol.
37: 152-156
[Abstract]
[Full Text]
-
Misbah, S., Stirzaker, D, Ozols, B, Franks, A, Mapstone, N
(1999). Anonymous survey of blood donors by polymerase chain reaction for Tropheryma whippelii. QJM
92: 61-61
[Full Text]