{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,4]],"date-time":"2026-09-04T16:21:42Z","timestamp":1788538902900,"version":"build-2803163510"},"reference-count":11,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"3","license":[{"start":{"date-parts":[[2012,7,1]],"date-time":"2012-07-01T00:00:00Z","timestamp":1341100800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2015,1,5]],"date-time":"2015-01-05T00:00:00Z","timestamp":1420416000000},"content-version":"vor","delay-in-days":918,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2012,7]]},"abstract":"<jats:sec>\n                    <jats:title>Abstract<\/jats:title>\n                    <jats:p>\n                      Disseminated Tuberculosis(TB) occurs through lymphohaematogenous dissemination of\n                      <jats:italic toggle=\"yes\">M. tuberculosis<\/jats:italic>\n                      . Although it is more common in young children and those who are having risk factors like having acquired or innate immunodeficiency, weak immune system being on immunosuppressive treatments; it can also occur in immunocompetent indviduals with heavy load of infection. Inhalation being the commonest mode of entry of the pathogen results in pulmonary tuberculosis being the commonest seat of primary infection,other systems commonly involved as extra-pulmonary sites are lymphnodes, bone, brain, peritonium and genitalia depending on the amount of relative blood supply and lymphatics. We present here case of a young female who was immunocompetent, having fever, progressive lower limb weakness and loss of bowel and bladder control, becoming bed bound, and admitted in our hospital for rehabilitation with a diagnosis of paraplegia.\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.1016\/j.ijmyco.2012.07.008","type":"journal-article","created":{"date-parts":[[2012,9,1]],"date-time":"2012-09-01T12:24:51Z","timestamp":1346502291000},"page":"155-160","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":2,"title":["Paraplegia is not a diagnosis"],"prefix":"10.4103","volume":"1","author":[{"given":"Liaqat Ali","family":"Chaudhry","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marwan","family":"Zamzami","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Syed Kashif","family":"Fakharudin","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","reference":[{"key":"R1-10-20260904","doi-asserted-by":"crossref","first-page":"8","DOI":"10.1007\/PL00011973","article-title":"Spinal tuberculosis (Pott's disease): Its clinical presentation, surgical management, and outcomes. A survey study on 694 patients","volume":"24","author":"Turgut","year":"2001","journal-title":"Neurosurg. Rev"},{"key":"R2-10-20260904","doi-asserted-by":"crossref","first-page":"464","DOI":"10.1016\/S1684-1182(10)60072-2","article-title":"Spinal tuberculosis in non-HIV infected patients: 10-Year experience of a medical centre in central Taiwan","volume":"43","author":"Weng","year":"2010","journal-title":"J. Microbiol. Immunol. Infect"},{"key":"R3-10-20260904","first-page":"139","article-title":"Case report: Multifocal skeletal tuberculosis involving the lumbar spine and a sacroiliac joint","volume":"12","author":"Gelal","year":"2006","journal-title":"Diagn. Interv. Radiol"},{"key":"R4-10-20260904","doi-asserted-by":"crossref","first-page":"329","DOI":"10.1016\/S0033-8389(05)70280-3","article-title":"Imaging of musculoskeletal and spinal tuberculosis","volume":"39","author":"Moore","year":"2001","journal-title":"Radiol. Clin. North Am"},{"key":"R5-10-20260904","doi-asserted-by":"crossref","first-page":"46","DOI":"10.1136\/pgmj.2005.032862","article-title":"Current difficulties in the diagnosis and management of spinal tuberculosis","volume":"82","author":"Comican","year":"2006","journal-title":"Postgrad. Med. J"},{"key":"R6-10-20260904","first-page":"429","article-title":"A case of pulmonary tuberculosis complicated with multiple bone and joint tuberculosis","volume":"75","author":"Nakao","year":"2000","journal-title":"Kekkaku"},{"key":"R10-10-20260904","first-page":"28","article-title":"Controlled chemoprophylaxis trials in tuberculosis: A general review","volume":"17","author":"Ferebee","year":"1970","journal-title":"Adv. Tuberc. Res"},{"key":"R11-10-20260904","first-page":"534","article-title":"Spinal tuberculosis deserves a place on the radar screen","volume":"71","author":"MacLain","year":"2004","journal-title":"Cleve. Clin. J. Med"},{"key":"R12-10-20260904","first-page":"43","article-title":"Ba Essa Ebtesam, Al-Sulaiman Shehab, A case of milliary tuberculosis manifested an unusual paradoxical reaction at 3 weeks of antiTB treatment","volume":"22","author":"Chaudhry","year":"2012","journal-title":"JCPS"},{"key":"R13-10-20260904","doi-asserted-by":"crossref","first-page":"127","DOI":"10.1007\/s00264-006-0278-5","article-title":"A new classification and guide for surgical treatment of spinal tuberculosis","volume":"32","author":"Oguz","year":"2008","journal-title":"Int. Orthop. J"},{"key":"R15-10-20260904","first-page":"1290","article-title":"Paradoxical response during anti-tuberculosis treatment in HIV-negative patients with pulmonary tuberculosis","volume":"11","author":"Cheng","year":"2007","journal-title":"Int. J. Tuberc. Lung Dis"}],"container-title":["The International Journal of Mycobacteriology"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/api.elsevier.com\/content\/article\/PII:S2212553112000726?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/api.elsevier.com\/content\/article\/PII:S2212553112000726?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/www.ovid.com\/01929415-201201030-00010","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,9,4]],"date-time":"2026-09-04T16:01:06Z","timestamp":1788537666000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/01929415-201201030-00010"}},"subtitle":["Spinal tuberculosis deserves a place on the clinical radar screen Awakening call to clinicians"],"short-title":[],"issued":{"date-parts":[[2012,7]]},"references-count":11,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2012]]}},"URL":"https:\/\/doi.org\/10.1016\/j.ijmyco.2012.07.008","relation":{},"ISSN":["2212-5531","2212-554X"],"issn-type":[{"value":"2212-5531","type":"print"},{"value":"2212-554X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2012,7]]}}}