{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T14:42:39Z","timestamp":1787755359317,"version":"build-2784847793"},"reference-count":23,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"2","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"abstract":"<jats:sec>\n                    <jats:title>Case:<\/jats:title>\n                    <jats:p>\n                      A 63-year-old farmer who is a known diabetic and chronic alcoholic presented with lower back pain and neurological weakness of lower limbs present for the past 3 months. His acute phase reactants were very high, and magnetic resonance imaging displayed L4-L5 vertebral involvement with epidural, paravertebral, and bilateral psoas abscesses. Cultures of an ultrasound-guided aspiration from the psoas were positive for\n                      <jats:italic toggle=\"yes\">Burkholderia pseudomallei<\/jats:italic>\n                      , and a nucleic acid amplification test also detected\n                      <jats:italic toggle=\"yes\">Mycobacterium tuberculosis<\/jats:italic>\n                      . He underwent posterior decompression and fixation, and intraoperative biopsy confirmed a granulomatous reaction. He received appropriate antibiotics for both diseases. At 1 year, he showed healing on radiographic imaging, with independent ambulation status.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>The coexistence of melioidosis and tuberculosis is rare, and as far as we know, a case of infective spondylodiscitis has not been reported. In patients with infective spondylodiscitis, every attempt should be made to confirm the diagnosis before starting empirical antitubercular treatment (ATT).<\/jats:p>\n                  <\/jats:sec>","DOI":"10.2106\/jbjs.cc.22.00770","type":"journal-article","created":{"date-parts":[[2023,5,12]],"date-time":"2023-05-12T14:01:18Z","timestamp":1683900078000},"update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":4,"title":["Coinfection of Melioidosis and Tuberculosis Causing Infective Lumbar Spondylodiscitis"],"prefix":"10.2106","volume":"13","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3848-4277","authenticated-orcid":false,"given":"Mantu","family":"Jain","sequence":"first","affiliation":[{"name":"Department of Orthopedics, AIIMS, Bhubaneswar, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9144-0612","authenticated-orcid":false,"given":"Harish V.K.","family":"Ratna","sequence":"additional","affiliation":[{"name":"Department of Orthopedics, AIIMS, Bhubaneswar, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6706-0660","authenticated-orcid":false,"given":"Srujana","family":"Mohanty","sequence":"additional","affiliation":[{"name":"Department of Microbiology, AIIMS, Bhubaneswar, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3452-7236","authenticated-orcid":false,"given":"Somanath","family":"Padhi","sequence":"additional","affiliation":[{"name":"Department of Pathology and Laboratory Medicine, AIIMS, Bhubaneswar, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0179-9910","authenticated-orcid":false,"given":"Sujit","family":"Tripathy","sequence":"additional","affiliation":[{"name":"Department of Orthopedics, AIIMS, Bhubaneswar, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2023,4]]},"reference":[{"issue":"4 suppl","key":"bib1-20240731","doi-asserted-by":"crossref","first-page":"96S","DOI":"10.1177\/2192568218769053","article-title":"Spinal tuberculosis: current concepts","volume":"8","author":"Rajasekaran","year":"2018","journal-title":"Glob Spine J."},{"issue":"4","key":"bib2-20240731","doi-asserted-by":"crossref","first-page":"369","DOI":"10.1159\/000086250","article-title":"Response to empirical anti-tuberculosis treatment in patients with sputum smear-negative presumptive pulmonary tuberculosis","volume":"72","author":"Lee","year":"2005","journal-title":"Respiration."},{"issue":"4","key":"bib3-20240731","doi-asserted-by":"crossref","first-page":"536","DOI":"10.5588\/ijtld.15.0562","article-title":"Treatment as diagnosis and diagnosis as treatment: empirical management of presumptive tuberculosis in India","volume":"20","author":"McDowell","year":"2016","journal-title":"Int J Tuberc Lung Dis."},{"issue":"1","key":"bib4-20240731","doi-asserted-by":"crossref","first-page":"15008","DOI":"10.1038\/nmicrobiol.2015.8","article-title":"Predicted global distribution of Burkholderia pseudomallei and burden of melioidosis","volume":"1","author":"Limmathurotsakul","year":"2016","journal-title":"Nat Microbiol."},{"issue":"10","key":"bib5-20240731","first-page":"1209","article-title":"Tuberculosis mimicked by melioidosis","volume":"12","author":"Vidyalakshmi","year":"2008","journal-title":"Int J Tuberc Lung Dis."},{"issue":"2","key":"bib6-20240731","doi-asserted-by":"crossref","first-page":"113","DOI":"10.4103\/1817-1737.62476","article-title":"Melioidosis and pulmonary tuberculosis co-infection in a diabetic","volume":"5","author":"Shetty","year":"2010","journal-title":"Ann Thorac Med."},{"key":"bib7-20240731","first-page":"1","article-title":"Melioidosis: the great mimicker presenting as spondylodiscitis","volume":"2018","author":"Garg","year":"2018","journal-title":"BMJ Case Rep."},{"issue":"1","key":"bib8-20240731","doi-asserted-by":"crossref","first-page":"232","DOI":"10.1186\/1471-2334-12-232","article-title":"Transverse myelitis secondary to Melioidosis; 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