Table 3

List of antibiotics reported to be effective in the treatment of Whipple's disease

AntibioticAbility to penetrate blood–brain barrierIntracellular penetrationBactericidal/ static activity
Bacteriocidal/static activity refers to in vitro activity of each agent against most conventional pathogens that can be cultured in the laboratory.
Cephalosporins
CeftriaxoneYes, if meninges are inflamedPoorBactericidal
Cefixime
ChloramphenicolExcellent, even with uninflamed meningesGoodBacteriostatic
CotrimoxazoleGood, even with uninflamed meningesYesBacteriostatic
Macrolides
AzithromycinLimitedExcellentBacteriostatic
ClarithromycinLimitedGoodBacteriostatic
ErythromycinPenetration limited even with inflamed meningesLimitedBacteriostatic
PenicillinYes, if meninges are inflamedPoorBactericidal
StreptomycinPoorPoorBactericidal
TetracyclinePoorGoodBacteriostatic