{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,7]],"date-time":"2025-11-07T09:41:03Z","timestamp":1762508463652},"reference-count":7,"publisher":"Scientific Scholar","license":[{"start":{"date-parts":[[2021,5,5]],"date-time":"2021-05-05T00:00:00Z","timestamp":1620172800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["ruralneuropractice.com"],"crossmark-restriction":true},"short-container-title":["JNRP"],"abstract":"<jats:title>Abstract<\/jats:title>\n<jats:p>\n<jats:italic>Burkholderia pseudomallei<\/jats:italic> causes Whitmore\u2019s disease or melioidosis which is endemic in many South Asian countries including India. This gram-negative bacterium is frequently found in the moist soil and agricultural workers get infected most commonly. Most of the infections are asymptomatic and have a wide spectrum of manifestations as in tuberculosis. Melioidosis of the spine manifests as spondylodiscitis with paravertebral and prevertebral abscess and presentation as discitis alone is not reported. We report the first case of melioidosis causing isolated discitis without any obvious bony involvement. It also highlights the need for preoperative suspicion of these rare manifestations even in seemingly innocuous disc disease presenting as back pain and radiculopathy.<\/jats:p>","DOI":"10.1055\/s-0041-1729477","type":"journal-article","created":{"date-parts":[[2021,5,5]],"date-time":"2021-05-05T23:05:27Z","timestamp":1620255927000},"page":"599-600","update-policy":"http:\/\/dx.doi.org\/10.25259\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Isolated Discitis in Melioidosis: An Unknown Presentation and a Microbiological Challenge"],"prefix":"10.25259","volume":"12","author":[{"given":"Anoop","family":"Varma","sequence":"first","affiliation":[{"name":"Department of Neurosurgery, Aster Medcity, Kochi, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jacob Eapen","family":"Mathew","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Aster Medcity, Kochi, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Chittur Viswanathan","family":"Gopalakrishnan","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Aster Medcity, Kochi, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Arun","family":"Wilson","sequence":"additional","affiliation":[{"name":"Department of Infectious Diseases, Aster Medcity, Kochi, India"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"10894","published-online":{"date-parts":[[2021,5,5]]},"reference":[{"issue":"11","key":"10.1055\/s-0041-1729477\/ref-1","doi-asserted-by":"crossref","first-page":"e900","DOI":"10.1371\/journal.pntd.0000900","article-title":"The epidemiology and clinical spectrum of melioidosis: 540 cases from the 20 year Darwin prospective study","volume":"4","author":"Currie","year":"2010","journal-title":"PLoS Negl Trop Dis"},{"issue":"5","key":"10.1055\/s-0041-1729477\/ref-2","doi-asserted-by":"crossref","first-page":"890","DOI":"10.1093\/infdis\/159.5.890","article-title":"Melioidosis: a major cause of community-acquired septicemia in northeastern Thailand","volume":"159","author":"Chaowagul","year":"1989","journal-title":"J Infect Dis"},{"issue":"2\/03","key":"10.1055\/s-0041-1729477\/ref-3","doi-asserted-by":"crossref","first-page":"201","DOI":"10.1016\/S0001-706X(99)00071-6","article-title":"Pathogenesis of and immunity to melioidosis","volume":"74","author":"Brett","year":"2000","journal-title":"Acta Trop"},{"issue":"1","key":"10.1055\/s-0041-1729477\/ref-4","doi-asserted-by":"crossref","first-page":"17","DOI":"10.1007\/s40121-015-0098-2","article-title":"Burkholderia pseudomallei causing bone and joint infections: a clinical update","volume":"5","author":"Raja","year":"2016","journal-title":"Infect Dis Ther"},{"issue":"6","key":"10.1055\/s-0041-1729477\/ref-5","doi-asserted-by":"crossref","first-page":"1065","DOI":"10.4184\/asj.2016.10.6.1065","article-title":"Non-caseating granulomatous infective spondylitis: melioidotic spondylitis","volume":"10","author":"Arockiaraj","year":"2016","journal-title":"Asian Spine J"},{"key":"10.1055\/s-0041-1729477\/ref-6","doi-asserted-by":"crossref","first-page":"bcr-2017\u2013223223","DOI":"10.1136\/bcr-2017-223223","article-title":"Melioidosis: the great mimicker presenting as spondylodiscitis","volume":"2018","author":"Garg","year":"2018","journal-title":"BMJ Case Rep"},{"issue":"9","key":"10.1055\/s-0041-1729477\/ref-7","doi-asserted-by":"crossref","first-page":"3142","DOI":"10.1128\/JCM.01349-12","article-title":"Matrix-assisted laser desorption ionization-time of flight mass spectrometry for rapid identification of Burkholderia pseudomallei: importance of expanding databases with pathogens endemic to different localities","volume":"50","author":"Lau","year":"2012","journal-title":"J Clin Microbiol"}],"container-title":["Journal of Neurosciences in Rural Practice"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/ruralneuropractice.com\/isolated-discitis-in-melioidosis-an-unknown-presentation-and-a-microbiological-challenge\/","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/ruralneuropractice.com\/isolated-discitis-in-melioidosis-an-unknown-presentation-and-a-microbiological-challenge\/","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,8,5]],"date-time":"2023-08-05T04:40:17Z","timestamp":1691210417000},"score":1,"resource":{"primary":{"URL":"https:\/\/ruralneuropractice.com\/isolated-discitis-in-melioidosis-an-unknown-presentation-and-a-microbiological-challenge\/"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,5,5]]},"references-count":7,"alternative-id":["10.1055\/s-0041-1729477"],"URL":"https:\/\/doi.org\/10.1055\/s-0041-1729477","relation":{},"ISSN":["0976-3147"],"issn-type":[{"value":"0976-3147","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,5,5]]},"article-number":"599"}}