A gram positive rod related to actinomycetes.
In the thrid world it is common in stools and is found in European sewers. So it is a widespread organism.
Maybe TNF-alpha therapy (PubMed).
Whipples Disease: a disseminated disease that presents with some combination of abdominal mass, abdominal pain, arthropathy (Rheumatic and Musculoskeletal (PubMed)), ascites, cardiac murmurs, chronic cough, diarrhea, fever, hepatomegaly, hyperpigmentation, hypotension, lymphadenopathy, myalgia, occult bleeding, peripheral edema, stoke and a wide variety of other neurologic symptoms (PubMed), splenomegaly, weight loss. I can't think of a Charmin reference.
Pathology and PCR are the way to make the diagnosis, it can't be grown. Yet.
In West Africa, it causes fevers and cough in the cold season and can be found in the blood of 6% of febrile children (PubMed).
Initial parenteral therapy: ceftriaxone, 2 g daily x 2 weeks.
Alternatives: doxycycline or a cephalosporin.