{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T14:50:07Z","timestamp":1787755807295,"version":"build-2784847793"},"reference-count":22,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"1","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 man with poorly controlled diabetes presented with severe low back pain and radiculopathy. Magnetic resonance imaging revealed L4\u2013L5 spondylodiscitis. Computed tomography \u2013guided biopsy identified\n                      <jats:italic toggle=\"yes\">Leclercia adecarboxylata,<\/jats:italic>\n                      a rare Gram-negative bacillus, sensitive to all tested antibiotics. He received intravenous broad-spectrum antibiotics followed by oral ciprofloxacin for 3 months, achieving complete recovery without relapse.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>\n                      As far as we know, this is the first reported case of isolated\n                      <jats:italic toggle=\"yes\">L. adecarboxylata<\/jats:italic>\n                      spondylodiscitis. This case underlines the potential role of the organism as an uncommon pathogen in spinal infections and stresses the importance of image-guided biopsy and microbiological culture to provide an accurate diagnosis and appropriate therapy.\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.2106\/jbjs.cc.26.00002","type":"journal-article","created":{"date-parts":[[2026,3,19]],"date-time":"2026-03-19T18:00:24Z","timestamp":1773943224000},"update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["Isolated Spondylodiscitis Caused by Leclercia adecarboxylata"],"prefix":"10.2106","volume":"16","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1903-4887","authenticated-orcid":false,"given":"Osama","family":"Aldahamsheh","sequence":"first","affiliation":[{"name":"Department of Special Surgery, Faculty of Medicine, Al-Balqa Applied University, Al Salt, Jordan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0003-5933-0872","authenticated-orcid":false,"given":"Tariq","family":"Albarad'I","sequence":"additional","affiliation":[{"name":"Faculty of Medicine, Al-Balqa Applied University, Al Salt, Jordan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0006-6727-6249","authenticated-orcid":false,"given":"Ayyub","family":"Masoud","sequence":"additional","affiliation":[{"name":"Faculty of Medicine, Al-Balqa Applied University, Al Salt, Jordan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5087-1371","authenticated-orcid":false,"given":"Samir","family":"Sakka","sequence":"additional","affiliation":[{"name":"Department of Special Surgery, Faculty of Medicine, Al-Balqa Applied University, Al Salt, Jordan"},{"name":"Department of Orthopedics, Ibn Al-Haytham Hospital, Amman, Jordan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mustafa M.","family":"Saad","sequence":"additional","affiliation":[{"name":"Department of Infectious Disease, Arab Medical Center, Amman, Jordan"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2026,1]]},"reference":[{"issue":"11","key":"bib1-20260319","doi-asserted-by":"crossref","first-page":"1022","DOI":"10.1056\/NEJMcp0910753","article-title":"Clinical practice. 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