{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T14:47:28Z","timestamp":1787755648365,"version":"build-2784847793"},"reference-count":51,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"3","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"abstract":"<jats:sec>\n                    <jats:title>Case:<\/jats:title>\n                    <jats:p>\n                      A 32-year-old man developed lumbar discitis and osteomyelitis after receiving a cell-based injection for the treatment of degenerative disc disease. Initial cultures were negative, but he continued to worsen, and a repeat set of cultures was taken. On day 10,\n                      <jats:italic toggle=\"yes\">Cutibacterium acnes<\/jats:italic>\n                      was isolated. He was then successfully treated with 12 weeks of intravenous antibiotics.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>\n                      There is minimal regulation on the preparation or administration of cell-based interventions. It is important to consider slow growing organisms such as\n                      <jats:italic toggle=\"yes\">C. acnes<\/jats:italic>\n                      in patients presenting with spinal infection with insidious onset after these treatments.\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.2106\/jbjs.cc.19.00636","type":"journal-article","created":{"date-parts":[[2020,7,24]],"date-time":"2020-07-24T11:00:09Z","timestamp":1595588409000},"page":"e19.00636-e19.00636","source":"Crossref","is-referenced-by-count":5,"title":["Lumbar Discitis and Osteomyelitis After a Spinal Stem Cell Injection?"],"prefix":"10.2106","volume":"10","author":[{"given":"Omar","family":"Ramos","sequence":"first","affiliation":[{"name":"Department of Orthopaedic Surgery, Loma Linda University, Loma Linda, California"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0938-8307","authenticated-orcid":false,"given":"Joshua 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