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Table 1 Summary of 14 brain biopsies from patients with encephalitis analysed in our laboratory using PAS staining, immunohistochemistry with polyclonal rabbit antibodies specifically directed against T. whipplei and specific PCR

From: Progressive dementia associated with ataxia or obesity in patients with Tropheryma whipplei encephalitis

   

Brain biopsies

Patients

Sex/Age

Country of origin

PAS staining

T. whipplei immunohistochemistry

T. whipplei PCR

False-positive PAS staining associated with negative immunohistochemistry

Excluded diagnosis of T. whipplei encephalitis

*1

F/67

Ireland

Positive

Negative

Negative

*2

M/25

Canada

Positive

Negative

Negative

*3

M/42

France

Positive

Negative

Negative

*4

M/37

Belgium

Positive

Negative

Negative

*5

NA/NA

Japan

Positive

Negative

Negative

*6

M/34

France

Positive

Negative

Negative

*7

M/64

France

Positive

Negative

Negative

*8

M/66

France

Positive

Negative

Negative

Diagnosis of T. whipplei encephalitis not available due to lack of PCR 2

*9

M/73

Japan

Positive

Negative

NA 1

*10

M/14

USA

Positive

Negative

NA 1

*11

NA/NA

South-Africa

Positive

Negative

NA 1

*12

M/NA

Canada

Positive

Negative

NA 1

False-negative PAS staining and immunohistochemistry

*2Patient 1 in this study

M/39

France

Negative

Negative

Positive

*2Patient 5 in this study

F/33

France

Negative

Negative

Positive

  1. NA: Not available
  2. *: All samples from these patients were analysed in our facilities.
  3. 1: PCR assays were not available for these patients because no fresh specimens were sampled and the quality of the DNA extracted from the paraffin-embedded specimens was poor, not allowing a conclusive diagnosis.
  4. 2: Patients were seen and followed by one of the authors (DR) in consultation.