{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,19]],"date-time":"2026-09-19T12:33:18Z","timestamp":1789821198761,"version":"4.0.1"},"reference-count":26,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2006,9,11]],"date-time":"2006-09-11T00:00:00Z","timestamp":1157932800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Muscle and Nerve"],"published-print":{"date-parts":[[2006,12]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>A 67\u2010year\u2010old man presented with myalgia, muscle atrophy, and a history of seronegative polyarthritis. Blood tests showed inflammation but no hematologic or immunologic abnormalities. Muscle biopsy revealed no vasculitis or myositis but <jats:italic>Tropheryma whipplei<\/jats:italic> was detected by polymerase chain reaction in muscle, blood, and duodenum specimens; this was confirmed by immunohistochemistry. Ceftriaxone led to clinical improvement. Although rare, Whipple's disease should be considered in the differential diagnosis of diffuse myopathy. Muscle Nerve, 2006<\/jats:p>","DOI":"10.1002\/mus.20650","type":"journal-article","created":{"date-parts":[[2006,9,11]],"date-time":"2006-09-11T20:22:54Z","timestamp":1158006174000},"page":"794-798","source":"Crossref","is-referenced-by-count":17,"title":["Whipple's disease with muscle impairment"],"prefix":"10.1002","volume":"34","author":[{"given":"Marie","family":"Puget","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jean","family":"Iwaz","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anne","family":"Tristan","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nathalie","family":"Streichenberger","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2006,9,11]]},"reference":[{"key":"e_1_2_6_2_2","doi-asserted-by":"publisher","DOI":"10.1016\/S1542-3565(04)00387-8"},{"key":"e_1_2_6_3_2","doi-asserted-by":"publisher","DOI":"10.1309\/8YGR-FE7L-39LL-L37C"},{"key":"e_1_2_6_4_2","doi-asserted-by":"publisher","DOI":"10.3181\/00379727-72-17388"},{"key":"e_1_2_6_5_2","first-page":"242","volume-title":"Whipple's disease","author":"Dobbins WO","year":"1987"},{"key":"e_1_2_6_6_2","doi-asserted-by":"publisher","DOI":"10.1128\/JCM.42.1.401-403.2004"},{"key":"e_1_2_6_7_2","doi-asserted-by":"publisher","DOI":"10.7326\/0003-4819-140-8-200404200-00036"},{"key":"e_1_2_6_8_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1600-0463.2004.apm1120309.x"},{"key":"e_1_2_6_9_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0960-8966(99)00054-1"},{"key":"e_1_2_6_10_2","doi-asserted-by":"publisher","DOI":"10.1007\/s004150050386"},{"key":"e_1_2_6_11_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0046-8177(03)00126-6"},{"key":"e_1_2_6_12_2","doi-asserted-by":"publisher","DOI":"10.1007\/s10238-004-0036-1"},{"key":"e_1_2_6_13_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(03)12274-X"},{"key":"e_1_2_6_14_2","first-page":"41","article-title":"Whipple's disease","volume":"7","author":"Marth T","year":"1996","journal-title":"Semin Gastrointest Dis"},{"key":"e_1_2_6_15_2","doi-asserted-by":"publisher","DOI":"10.1002\/ana.410320605"},{"key":"e_1_2_6_16_2","doi-asserted-by":"publisher","DOI":"10.1136\/jcp.53.10.750"},{"key":"e_1_2_6_17_2","doi-asserted-by":"publisher","DOI":"10.1093\/qjmed\/90.12.765"},{"key":"e_1_2_6_18_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0002-9394(98)00084-1"},{"key":"e_1_2_6_19_2","first-page":"205","article-title":"Orbital myositis, recurrence of Whipple's disease","volume":"15","author":"Orssaud C","year":"1992","journal-title":"J Fr Ophtalmol"},{"key":"e_1_2_6_20_2","doi-asserted-by":"crossref","first-page":"62","DOI":"10.1007\/s100960050228","article-title":"Diagnosis and follow\u2010up of Whipple's disease by amplification of the 16S rRNA gene of Tropheryma whippelii","volume":"18","author":"Pron B","year":"1999","journal-title":"Eur J Clin Microbiol Infect Dis"},{"key":"e_1_2_6_21_2","doi-asserted-by":"publisher","DOI":"10.1056\/NEJM200003023420903"},{"key":"e_1_2_6_22_2","doi-asserted-by":"publisher","DOI":"10.1056\/NEJM199207303270501"},{"key":"e_1_2_6_23_2","doi-asserted-by":"publisher","DOI":"10.1078\/1438-4221-00245"},{"key":"e_1_2_6_24_2","first-page":"121","article-title":"Whipple's disease with tubular aggregates in asymptomatic muscle","volume":"12","author":"Stamboulis E","year":"1993","journal-title":"Clin Neuropathol"},{"key":"e_1_2_6_25_2","doi-asserted-by":"publisher","DOI":"10.1136\/gut.18.10.800"},{"key":"e_1_2_6_26_2","first-page":"765","article-title":"Whipple's disease: clinical review of 52 cases","volume":"90","author":"Vital\u2010Durand D","year":"1997","journal-title":"Medicine (Baltimore)"},{"key":"e_1_2_6_27_2","first-page":"80","article-title":"Combined electron and light microscopy in Whipple's disease: demonstration of \u201cbacillary bodies\u201d in the intestine","volume":"109","author":"Yardley JH","year":"1961","journal-title":"Bull Johns Hopkins Hosp"}],"container-title":["Muscle &amp; 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