{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,26]],"date-time":"2026-09-26T06:59:11Z","timestamp":1790405951696,"version":"4.1.0"},"reference-count":10,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2026,8,24]],"date-time":"2026-08-24T00:00:00Z","timestamp":1787529600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,8,24]],"date-time":"2026-08-24T00:00:00Z","timestamp":1787529600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J of Gen and Family Med"],"published-print":{"date-parts":[[2026,9]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:p>An 88\u2010year\u2010old woman with back pain was found to have destructive changes at T9\/T10 and diffuse micronodular pulmonary opacities suggestive of miliary tuberculosis. At two referring hospitals, six sputum smears and two interferon\u2010gamma release assays were negative. Because the clinical and radiological findings remained highly suggestive of tuberculosis, three additional sputum smears were obtained after admission, leading to rapid microbiological confirmation that avoided the need for invasive diagnostic procedures. This case highlights the importance of maintaining clinical suspicion and repeating sputum examination despite extensive negative evaluation elsewhere.<\/jats:p>","DOI":"10.1002\/jgf2.70164","type":"journal-article","created":{"date-parts":[[2026,8,25]],"date-time":"2026-08-25T06:37:21Z","timestamp":1787639841000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Miliary Tuberculosis Diagnosed After Repeated Sputum Smear Examinations Despite Negative Results at a Referral Tuberculosis Center: The Importance of Maintaining Clinical Suspicion"],"prefix":"10.1002","volume":"27","author":[{"ORCID":"https:\/\/orcid.org\/0009-0009-4867-9247","authenticated-orcid":false,"given":"Kento","family":"Kabeya","sequence":"first","affiliation":[{"name":"Department of Internal Medicine Nagoya Tokushukai General Hospital  Kasugai Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kousuke","family":"Mouri","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine Nagoya Tokushukai General Hospital  Kasugai Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7195-2055","authenticated-orcid":false,"given":"Hidehiro","family":"Someko","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine Nagoya Tokushukai General Hospital  Kasugai Japan"},{"name":"SRWS\u2010PSG  Osaka Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,8,24]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.1128\/microbiolspec.tnmi7\u20100013\u20102016"},{"key":"e_1_2_10_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jctube.2020.100179"},{"key":"e_1_2_10_4_1","doi-asserted-by":"publisher","DOI":"10.4103\/0022\u20103859.37509"},{"key":"e_1_2_10_5_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0129792"},{"key":"e_1_2_10_6_1","doi-asserted-by":"publisher","DOI":"10.1097\/00001888\u2010200308000\u201000003"},{"key":"e_1_2_10_7_1","doi-asserted-by":"publisher","DOI":"10.1093\/cid\/ciw778"},{"issue":"5","key":"e_1_2_10_8_1","first-page":"485","article-title":"Yield of Serial Sputum Specimen Examinations in the Diagnosis of Pulmonary Tuberculosis: A Systematic Review","volume":"11","author":"Mase S. 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