{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,1]],"date-time":"2026-11-01T03:08:14Z","timestamp":1793502494404,"version":"4.5.0"},"reference-count":29,"publisher":"Elsevier BV","license":[{"start":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T00:00:00Z","timestamp":1777593600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T00:00:00Z","timestamp":1777593600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2026,4,7]],"date-time":"2026-04-07T00:00:00Z","timestamp":1775520000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Journal of Clinical Tuberculosis and Other Mycobacterial Diseases"],"published-print":{"date-parts":[[2026,5]]},"DOI":"10.1016\/j.jctube.2026.100603","type":"journal-article","created":{"date-parts":[[2026,4,11]],"date-time":"2026-04-11T09:16:57Z","timestamp":1775899017000},"page":"100603","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":2,"special_numbering":"C","title":["Diagnostic utility of Xpert MTB\/RIF ultra in clinically suspected tuberculous lymphadenitis in low-burden settings: a single center experience from Saudi Arabia"],"prefix":"10.1016","volume":"43","author":[{"ORCID":"https:\/\/orcid.org\/0009-0006-1539-1966","authenticated-orcid":false,"given":"Manar","family":"Almutairi","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Reema","family":"Alalmaee","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elaf","family":"Alamer","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shaden","family":"Alharbi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gadah","family":"Aljarallah","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Raghad","family":"Almukhayzim","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nawaf","family":"Albuhayjan","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Reem","family":"Abanamy","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"key":"10.1016\/j.jctube.2026.100603_b0005","unstructured":"World health organization. Global tuberculosis report. Geneva: 2024."},{"issue":"1","key":"10.1016\/j.jctube.2026.100603_b0010","doi-asserted-by":"crossref","first-page":"60","DOI":"10.15537\/smj.2024.45.1.20230424","article-title":"Epidemiology of tuberculosis in Saudi Arabia following the implementation of end tuberculosis strategy","volume":"45","author":"Alawi","year":"2024","journal-title":"Saudi Med J"},{"issue":"3","key":"10.1016\/j.jctube.2026.100603_b0015","doi-asserted-by":"crossref","first-page":"182","DOI":"10.4103\/2230-8229.142973","article-title":"Prevalence of suspected tuberculosis in the Kingdom of Saudi Arabia according to conventional and molecular methods","volume":"21","author":"Al","year":"2014","journal-title":"J Family Community Med"},{"issue":"2","key":"10.1016\/j.jctube.2026.100603_b0020","doi-asserted-by":"crossref","first-page":"107","DOI":"10.4103\/ijmy.ijmy_207_19","article-title":"An evidence-based clinical pathway for the diagnosis of tuberculous lymphadenitis: a systematic review","volume":"9","author":"Sivaratnam","year":"2020","journal-title":"Int J Mycobacteriol"},{"key":"10.1016\/j.jctube.2026.100603_b0025","doi-asserted-by":"crossref","first-page":"366","DOI":"10.1016\/j.ijid.2020.07.011","article-title":"Clinical features of tuberculous lymphadenitis in a low-incidence country","volume":"98","author":"Mathiasen","year":"2020","journal-title":"Int J Infect Dis"},{"issue":"2","key":"10.1016\/j.jctube.2026.100603_b0030","doi-asserted-by":"crossref","first-page":"227","DOI":"10.4103\/0377-4929.64327","article-title":"Extra-pulmonary tuberculosis in Saudi Arabia","volume":"53","author":"Al-Otaibi","year":"2010","journal-title":"Indian J Pathol Microbiol"},{"issue":"8","key":"10.1016\/j.jctube.2026.100603_b0035","first-page":"3102","article-title":"The causes of lymphadenopathy in the central region of Saudi Arabia: a clinicopathological analysis of 475 cases. Int","volume":"12","author":"Abuelgasim","year":"2019","journal-title":"J Clin Exp Pathol"},{"key":"10.1016\/j.jctube.2026.100603_b0040","article-title":"Clinical characteristics and outcome of Tuberculosis lymphadenitis in a tertiary center from Saudi Arabia","volume":"33","author":"Algarni","year":"2023","journal-title":"J Clin Tuberc Other Mycobact Dis"},{"issue":"11","key":"10.1016\/j.jctube.2026.100603_b0045","doi-asserted-by":"crossref","first-page":"4677","DOI":"10.7314\/APJCP.2014.15.11.4677","article-title":"Pattern of lymph node pathology in western Saudi Arabia","volume":"15","author":"Albasri","year":"2014","journal-title":"Asian Pac J Cancer Prev"},{"issue":"1","key":"10.1016\/j.jctube.2026.100603_b0050","doi-asserted-by":"crossref","first-page":"11","DOI":"10.1186\/s42047-022-00111-z","article-title":"Combination method for the diagnosis of Tuberculous lymphadenitis in high burden settings","volume":"5","author":"Shetty","year":"2022","journal-title":"Surg Exp Pathol"},{"issue":"6","key":"10.1016\/j.jctube.2026.100603_b0055","doi-asserted-by":"crossref","first-page":"555","DOI":"10.1093\/cid\/cir454","article-title":"Current diagnosis and management of peripheral tuberculous lymphadenitis","volume":"53","author":"Fontanilla","year":"2011","journal-title":"Clin Infect Dis"},{"issue":"4","key":"10.1016\/j.jctube.2026.100603_b0060","doi-asserted-by":"crossref","DOI":"10.1128\/mBio.00812-17","article-title":"The New Xpert MTB\/RIF ultra: improving detection of Mycobacterium tuberculosis and resistance to rifampin in an assay suitable for point-of-care testing","volume":"8","author":"Chakravorty","year":"2017","journal-title":"MBio"},{"key":"10.1016\/j.jctube.2026.100603_b0065","doi-asserted-by":"crossref","first-page":"741","DOI":"10.1016\/j.ijid.2022.07.039","article-title":"Xpert MTB\/RIF Ultra outperformed the Xpert assay in tuberculosis lymphadenitis diagnosis: a prospective head-to-head cohort study","volume":"122","author":"Yu","year":"2022","journal-title":"Int J Infect Dis"},{"issue":"12","key":"10.1016\/j.jctube.2026.100603_b0070","article-title":"Xpert MTB\/RIF Ultra is Highly Sensitive for the Diagnosis of Tuberculosis Lymphadenitis in a High-HIV setting","volume":"59","author":"Minnies","year":"2021","journal-title":"J Clin Microbiol [homepage on the Internet]"},{"issue":"4","key":"10.1016\/j.jctube.2026.100603_b0075","doi-asserted-by":"crossref","first-page":"304","DOI":"10.4103\/lungindia.lungindia_144_25","article-title":"Sensitivity and specificity of Gene Xpert Ultra in extrapulmonary tuberculosis (EPTB)","volume":"42","author":"Prakash","year":"2025","journal-title":"Lung India"},{"issue":"1","key":"10.1016\/j.jctube.2026.100603_b0080","doi-asserted-by":"crossref","DOI":"10.1038\/s41598-024-52130-3","article-title":"Usefulness of Xpert MTB\/RIF Ultra for rapid diagnosis of extrapulmonary tuberculosis in Tunisia","volume":"14","author":"Bouzouita","year":"2024","journal-title":"Sci Rep"},{"issue":"3","key":"10.1016\/j.jctube.2026.100603_b0085","doi-asserted-by":"crossref","first-page":"148","DOI":"10.4103\/1817-1737.114303","article-title":"Tuberculosis incidence trends in Saudi Arabia over 20 years: 1991-2010","volume":"8","author":"Al-Orainey","year":"2013","journal-title":"Ann Thorac Med"},{"issue":"4","key":"10.1016\/j.jctube.2026.100603_b0090","doi-asserted-by":"crossref","first-page":"782","DOI":"10.1007\/s44197-023-00150-z","article-title":"Evaluation of Xpert MTB\/RIF ultra for the diagnosis of extrapulmonary tuberculosis: a retrospective analysis in Saudi Arabia","volume":"13","author":"Slail","year":"2023","journal-title":"J Epidemiol Glob Health"},{"issue":"2","key":"10.1016\/j.jctube.2026.100603_b0095","doi-asserted-by":"crossref","first-page":"128","DOI":"10.1080\/00365540802578991","article-title":"Clinical pattern of tuberculous adenitis in Qatar: experience with","volume":"41","author":"Khan","year":"2009","journal-title":"Scand J Infect Dis"},{"issue":"3","key":"10.1016\/j.jctube.2026.100603_b0100","doi-asserted-by":"crossref","first-page":"196","DOI":"10.1016\/j.ijmyco.2015.04.004","article-title":"Tuberculosis lymphadenitis in a southeastern region in Tunisia: Epidemiology, clinical features, diagnosis and treatment","volume":"4","author":"Smaoui","year":"2015","journal-title":"Int J Mycobacteriol"},{"issue":"5","key":"10.1016\/j.jctube.2026.100603_b0105","doi-asserted-by":"crossref","DOI":"10.1371\/journal.pone.0064915","article-title":"Prevalence of TB\/HIV co-infection in countries except china: a systematic review and meta-analysis","volume":"8","author":"Gao","year":"2013","journal-title":"PLoS One"},{"issue":"1","key":"10.1016\/j.jctube.2026.100603_b0110","doi-asserted-by":"crossref","first-page":"80","DOI":"10.1159\/000319764","article-title":"Tuberculous lymphadenitis at Penang General Hospital","volume":"20","author":"Khan","year":"2010","journal-title":"Malaysia Medical Principles and Practice"},{"issue":"1","key":"10.1016\/j.jctube.2026.100603_b0115","doi-asserted-by":"crossref","first-page":"33","DOI":"10.1186\/s12879-019-4749-x","article-title":"Diagnostic accuracy of the Xpert MTB\/Rif Ultra for tuberculosis adenitis","volume":"20","author":"Antel","year":"2020","journal-title":"BMC Infect Dis"},{"key":"10.1016\/j.jctube.2026.100603_b0120","doi-asserted-by":"crossref","first-page":"73","DOI":"10.1016\/j.ijid.2018.08.020","article-title":"Histopathological and microbiological findings and diagnostic performance of GeneXpert in clinically suspected tuberculous lymphadenitis","volume":"76","author":"Sarfaraz","year":"2018","journal-title":"Int J Infect Dis"},{"issue":"1","key":"10.1016\/j.jctube.2026.100603_b0125","doi-asserted-by":"crossref","first-page":"229","DOI":"10.1128\/JCM.01463-09","article-title":"Rapid detection of Mycobacterium tuberculosis and rifampin resistance by use of on-demand, near-patient technology","volume":"48","author":"Helb","year":"2010","journal-title":"J Clin Microbiol"},{"issue":"4","key":"10.1016\/j.jctube.2026.100603_b0130","doi-asserted-by":"crossref","DOI":"10.1371\/journal.pone.0249734","article-title":"Performance of Xpert MTB\/RIF Ultra for diagnosis of pulmonary and extra-pulmonary tuberculosis, one year of use in a multi-centric hospital laboratory in Brussels, Belgium","volume":"16","author":"Mekkaoui","year":"2021","journal-title":"PLoS One"},{"key":"10.1016\/j.jctube.2026.100603_b0135","doi-asserted-by":"crossref","first-page":"709","DOI":"10.1186\/s12879-014-0709-7","article-title":"Diagnostic accuracy of the Xpert MTB\/RIF assay for extrapulmonary and pulmonary tuberculosis when testing non-respiratory samples: a systematic review","volume":"14","author":"Maynard-Smith","year":"2014","journal-title":"BMC Infect Dis"},{"issue":"5","key":"10.1016\/j.jctube.2026.100603_b0140","doi-asserted-by":"crossref","first-page":"e2234","DOI":"10.1371\/journal.pntd.0002234","article-title":"Emergence of clinically relevant non-tuberculous mycobacterial infections in Saudi Arabia","volume":"7","author":"Varghese","year":"2013","journal-title":"PLoS Negl Trop Dis"},{"key":"10.1016\/j.jctube.2026.100603_b0145","unstructured":"World Health Organization. WHO consolidated guidelines on tuberculosis. Module 3: Diagnosis \u2013 Rapid diagnostics for tuberculosis detection 2021 update. Geneva: 2021."}],"container-title":["Journal of Clinical Tuberculosis and Other Mycobacterial Diseases"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S2405579426000252?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S2405579426000252?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T02:04:30Z","timestamp":1777601070000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S2405579426000252"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,5]]},"references-count":29,"alternative-id":["S2405579426000252"],"URL":"https:\/\/doi.org\/10.1016\/j.jctube.2026.100603","relation":{},"ISSN":["2405-5794"],"issn-type":[{"value":"2405-5794","type":"print"}],"subject":[],"published":{"date-parts":[[2026,5]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Diagnostic utility of Xpert MTB\/RIF ultra in clinically suspected tuberculous lymphadenitis in low-burden settings: a single center experience from Saudi Arabia","name":"articletitle","label":"Article Title"},{"value":"Journal of Clinical Tuberculosis and Other Mycobacterial Diseases","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.jctube.2026.100603","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2026 The Author(s). Published by Elsevier Ltd.","name":"copyright","label":"Copyright"}],"article-number":"100603"}}