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The disease is caused by infection with\n                      <jats:named-content content-type=\"genus-species\">Tropheryma whipplei<\/jats:named-content>\n                      , a bacterium that may be more common than was initially assumed. Most patients present with nonspecific symptoms, and as routine cultivation of the bacterium is not feasible, it is difficult to diagnose this infection. On the other hand, due to the generic symptoms, infection with this bacterium is actually quite often in the differential diagnosis. The gold standard for diagnosis used to be periodic acid-Schiff (PAS) staining of duodenal biopsy specimens, but PAS staining has a poor specificity and sensitivity. The development of molecular techniques has resulted in more convenient methods for detecting\n                      <jats:named-content content-type=\"genus-species\">T. whipplei<\/jats:named-content>\n                      infections, and this has greatly improved the diagnosis of this often missed infection. In addition, the molecular detection of\n                      <jats:named-content content-type=\"genus-species\">T. whipplei<\/jats:named-content>\n                      has resulted in an increase in knowledge about its pathogenicity, and this review gives an overview of the new insights in epidemiology, pathogenesis, clinical manifestations, diagnosis, and treatment of\n                      <jats:named-content content-type=\"genus-species\">Tropheryma whipplei<\/jats:named-content>\n                      infections.\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.1128\/cmr.00033-16","type":"journal-article","created":{"date-parts":[[2017,3,15]],"date-time":"2017-03-15T20:25:34Z","timestamp":1489609534000},"page":"529-555","update-policy":"https:\/\/doi.org\/10.1128\/asmj-crossmark-policy-page","source":"Crossref","is-referenced-by-count":195,"title":["Clinical Manifestations, Treatment, and Diagnosis of Tropheryma whipplei Infections"],"prefix":"10.1128","volume":"30","author":[{"given":"Ruben A. 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