{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,15]],"date-time":"2026-01-15T13:46:53Z","timestamp":1768484813136,"version":"3.49.0"},"reference-count":29,"publisher":"Georg Thieme Verlag KG","issue":"01\/02","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Fortschr Neurol Psychiatr"],"published-print":{"date-parts":[[2026,1]]},"abstract":"<jats:title>Zusammenfassung<\/jats:title>\n                  <jats:p>Der M. Whipple ist eine seltene Systemerkrankung verursacht durch eine chronische\n                    Infektion mit Tropheryma Whipplei, deren Diagnose h\u00e4ufig erst Jahre nach\n                    Auftreten erster Symptome gestellt werden kann. Die Symptome sind vielf\u00e4ltig und\n                    zuweilen unspezifisch. Neben Kachexie, rezidivierenden Gelenkschwellungen und\n                    abdominellen Beschwerden kommen auch neurologische Symptome wie Demenz,\n                    Myoklonus oder Pyramidenbahnaffektionen vor. Im vorgestellten Fall traten\n                    Symptome wie Gelenkschwellungen und Spasmen der Beine w\u00e4hrend der neurologischen\n                    Rehabilitation nach einem paramedianen Ponsinfarkt auf. Durch die enge\n                    Zusammenarbeit der neurologischen Rehabilitationsmediziner mit rheumatologischen\n                    Kollegen konnte die Diagnose eines M. Whipple gestellt werden. Nach Einleiten\n                    der leitliniengerechten Therapie mit Ceftriaxon gefolgt von\n                    Sulfamethoxazol-Trimethoprim besserten sich die Gelenkerg\u00fcsse und auch\n                    \u00fcberraschenderweise die Spasmen der Beine innerhalb weniger Tage.<\/jats:p>","DOI":"10.1055\/a-2662-1621","type":"journal-article","created":{"date-parts":[[2025,8,26]],"date-time":"2025-08-26T22:55:54Z","timestamp":1756248954000},"page":"52-55","source":"Crossref","is-referenced-by-count":0,"title":["Vom Schlaganfall \u00fcber Gelenkschwellungen zum M. Whipple \u2013\n                    Fallvorstellung aus der neurologischen Rehabilitation mit\n                    Literaturrecherche"],"prefix":"10.1055","volume":"94","author":[{"given":"Hilke","family":"Weichert","sequence":"additional","affiliation":[{"name":"Orthop\u00e4dische Rehabilitation, RehaCentrum Hamburg, Hamburg,\n                    Germany"},{"name":"Klinik f\u00fcr Neurologische Rehabilitation, Klinikum Bad\n                    Bramstedt GmbH, Bad Bramstedt, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ina","family":"K\u00f6tter","sequence":"additional","affiliation":[{"name":"Klinik f\u00fcr Rheumatologie und Immunologie, Klinikum Bad\n                    Bramstedt GmbH, Bad Bramstedt, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Oliver","family":"Pade","sequence":"additional","affiliation":[{"name":"Klinik f\u00fcr Neurologische Rehabilitation, Klinikum Bad\n                    Bramstedt GmbH, Bad Bramstedt, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2025,8,26]]},"reference":[{"key":"ref1","first-page":"382","article-title":"A hitherto undescribed disease characterized anatomically by deposit of fat and\n                    fatty acids in the intestinal and mesenteric lymphatic tissue","volume":"18","author":"G H Whipple","year":"1907","journal-title":"Bull Johns Hopkins Hosp"},{"key":"ref2","doi-asserted-by":"crossref","first-page":"225","DOI":"10.3181\/00379727-72-17388","article-title":"The tinctoral demonstration of a glycoprotein in Whipple\u2019s disease","volume":"72","author":"B Black-Schaffer","year":"1949","journal-title":"Proc Soc Exp Biol Med"},{"key":"ref3","first-page":"226","article-title":"Whipple\u2019s disease; a review of twelve patients from one service","volume":"30","author":"W C Chears","year":"1961","journal-title":"Am J 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