We examined fecal specimens of patients with diarrhea from 3 continents for Tropheryma whipplei and enteropathogens. T. whipplei was most common in South Africa, followed by Singapore and Germany. Its presence was associated with the presence of other pathogens. An independent causative role in diarrhea appears unlikely.
Keywords: Germany; Singapore; South Africa; Tropheryma whipplei; Whipple disease; bacteria; diarrhea; enteric infections; enteropathogens; gastroenteritis.