{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,4]],"date-time":"2026-06-04T16:17:20Z","timestamp":1780589840573,"version":"3.54.1"},"reference-count":59,"publisher":"MDPI AG","issue":"12","license":[{"start":{"date-parts":[[2023,12,2]],"date-time":"2023-12-02T00:00:00Z","timestamp":1701475200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"National University Complex for Biomedical and Translational Research (NUCBTR)","award":["D01-395\/18"],"award-info":[{"award-number":["D01-395\/18"]}]},{"name":"Bulgarian Ministry of Education and Science under the National Program","award":["D01-395\/18"],"award-info":[{"award-number":["D01-395\/18"]}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Microorganisms"],"abstract":"<jats:p>Yersinia enterocolitica is a foodborne pathogen, mainly associated with disorders involving the gastrointestinal tract, including diarrhea, ileitis, and mesenteric lymphadenitis. Extraintestinal presentation is uncommon in healthy individuals, but bacteremia is reported in immunocompromised hosts. We present a 74-year-old male with Y. enterocolitica serogroup O:3 bacteremia who complicated to rupture of an abdominal aortic aneurysm. With the current case report, we aimed to emphasize the association of Y. enterocolitica bacteremia with abdominal aortic aneurysm rupture. Better surveillance is needed, not only to reduce morbidity and mortality but also to update current epidemiological data on the incidence of such associations.<\/jats:p>","DOI":"10.3390\/microorganisms11122911","type":"journal-article","created":{"date-parts":[[2023,12,2]],"date-time":"2023-12-02T13:45:41Z","timestamp":1701524741000},"page":"2911","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Yersinia enterocolitica Bacteremia Associated with a Ruptured Abdominal Aortic Aneurysm: A Case Report with Literature Review"],"prefix":"10.3390","volume":"11","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8062-6799","authenticated-orcid":false,"given":"Yordan","family":"Kalchev","sequence":"first","affiliation":[{"name":"Department of Medical Microbiology and Immunology \u201cProf. Dr. Elissay Yanev\u201d, Faculty of Pharmacy, Medical University of Plovdiv, 4002 Plovdiv, Bulgaria"},{"name":"Laboratory of Microbiology, University Hospital St. George, 4000 Plovdiv, Bulgaria"},{"name":"Research Institute, Medical University of Plovdiv, 4002 Plovdiv, Bulgaria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hristina","family":"Urdzhanova","sequence":"additional","affiliation":[{"name":"Department of Pathology, Zealand University Hospital, 4000 Roskilde, Denmark"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stefan","family":"Stanev","sequence":"additional","affiliation":[{"name":"Clinic of Vascular Surgery, University Hospital St. George, 4000 Plovdiv, Bulgaria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bogomila","family":"Cheshmedzhieva","sequence":"additional","affiliation":[{"name":"Clinic of Vascular Surgery, University Hospital St. George, 4000 Plovdiv, Bulgaria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maria","family":"Pavlova","sequence":"additional","affiliation":[{"name":"National Reference Laboratory of Enteric Infections, Pathogenic Cocci and Diphtheria, Department of Microbiology, National Center of Infectious and Parasitic Diseases, 1504 Sofia, Bulgaria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0997-1439","authenticated-orcid":false,"given":"Gergana","family":"Lengerova","sequence":"additional","affiliation":[{"name":"Department of Medical Microbiology and Immunology \u201cProf. Dr. Elissay Yanev\u201d, Faculty of Pharmacy, Medical University of Plovdiv, 4002 Plovdiv, Bulgaria"},{"name":"Laboratory of Microbiology, University Hospital St. George, 4000 Plovdiv, Bulgaria"},{"name":"Research Institute, Medical University of Plovdiv, 4002 Plovdiv, Bulgaria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marianna","family":"Murdjeva","sequence":"additional","affiliation":[{"name":"Department of Medical Microbiology and Immunology \u201cProf. Dr. Elissay Yanev\u201d, Faculty of Pharmacy, Medical University of Plovdiv, 4002 Plovdiv, Bulgaria"},{"name":"Laboratory of Microbiology, University Hospital St. George, 4000 Plovdiv, Bulgaria"},{"name":"Research Institute, Medical University of Plovdiv, 4002 Plovdiv, Bulgaria"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2023,12,2]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"24","DOI":"10.1016\/j.eimc.2011.07.017","article-title":"Yersinia enterocolitica: Pathogenesis, virulence and antimicrobial resistance","volume":"30","author":"Vila","year":"2012","journal-title":"Enfermedades Infecc. Microbiol. Clin."},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"2545","DOI":"10.2169\/internalmedicine.51.7890","article-title":"Adult intussusception caused by Yersinia enterocolitica enterocolitis","volume":"51","author":"Imoto","year":"2012","journal-title":"Intern. Med."},{"key":"ref_3","doi-asserted-by":"crossref","first-page":"91","DOI":"10.1111\/jpc.12240","article-title":"Yersinia intussusception: Case report and review","volume":"50","author":"May","year":"2014","journal-title":"J. Paediatr. Child Health"},{"key":"ref_4","unstructured":"(2023, September 30). Questions and Answers Yersinia CDC, Available online: https:\/\/www.cdc.gov\/yersinia\/faq.html."},{"key":"ref_5","doi-asserted-by":"crossref","first-page":"5780","DOI":"10.21037\/apm-20-256","article-title":"Bloodstream infection caused by Yersinia enterocolitica in a host with ankylosing spondylitis: A case report and literature review","volume":"10","author":"Liu","year":"2021","journal-title":"Ann. Palliat. Med."},{"key":"ref_6","doi-asserted-by":"crossref","unstructured":"Fang, X., Kang, L., Qiu, Y.F., Li, Z.S., and Bai, Y. (2023). Yersinia enterocolitica in Crohn\u2019s disease. Front. Cell. Infect. Microbiol., 13.","DOI":"10.3389\/fcimb.2023.1129996"},{"key":"ref_7","doi-asserted-by":"crossref","unstructured":"Le Baut, G., O\u2019Brien, C., Pavli, P., Roy, M., Seksik, P., Tr\u00e9ton, X., Nancey, S., Barnich, N., Bezault, M., and Auzolle, C. (2018). Prevalence of Yersinia Species in the Ileum of Crohn\u2019s Disease Patients and Controls. Front. Cell. Infect. Microbiol., 8.","DOI":"10.3389\/fcimb.2018.00336"},{"key":"ref_8","doi-asserted-by":"crossref","first-page":"217","DOI":"10.1093\/jpids\/piaa016","article-title":"Yersinia enterocolitica Infection Presenting as Incomplete Kawasaki Disease: 2 Cases and a Review of the Literature","volume":"10","author":"Feeney","year":"2021","journal-title":"J. Pediatr. Infect. Dis. Soc."},{"key":"ref_9","first-page":"113","article-title":"Yersinia enterocolitica associated myopericarditis: Case report and review of the literature","volume":"135","author":"Nehoff","year":"2022","journal-title":"N. Z. Med. J."},{"key":"ref_10","doi-asserted-by":"crossref","first-page":"604","DOI":"10.1016\/S1297-319X(02)00458-X","article-title":"Septic arthritis of the hip caused by Yersinia enterocolitica: A case report","volume":"69","author":"Pouplin","year":"2002","journal-title":"Jt. Bone Spine"},{"key":"ref_11","doi-asserted-by":"crossref","first-page":"857","DOI":"10.1093\/rheumatology\/kep076","article-title":"A case of Yersinia enterocolitica mimicking Kawasaki disease","volume":"48","author":"Hassan","year":"2009","journal-title":"Rheumatology"},{"key":"ref_12","doi-asserted-by":"crossref","first-page":"e3988","DOI":"10.1097\/MD.0000000000003988","article-title":"Primary cellulitis and cutaneous abscess caused by Yersinia enterocolitica in an immunocompetent host","volume":"95","author":"Kato","year":"2016","journal-title":"Medicine"},{"key":"ref_13","doi-asserted-by":"crossref","first-page":"1810","DOI":"10.1128\/AEM.69.3.1810-1816.2003","article-title":"PCR detection of viru-lence genes in Yersinia enterocolitica and Yersinia pseudotuberculosis and investigation of virulence gene distribution","volume":"69","author":"Thoerner","year":"2003","journal-title":"Appl. Environ. Microbiol."},{"key":"ref_14","doi-asserted-by":"crossref","first-page":"733","DOI":"10.1089\/fpd.2010.0711","article-title":"Different enteropathogenic Yersinia strains found in wild boars and domestic pigs","volume":"8","author":"Wacheck","year":"2011","journal-title":"Foodborne Pathog. Dis."},{"key":"ref_15","doi-asserted-by":"crossref","unstructured":"Fredriksson-Ahomaa, M. (2022). Enteropathogenic Yersinia spp. Zoonoses Infect Affect Humans Anim, Springer. [2nd ed.].","DOI":"10.1007\/978-3-030-85877-3_8-1"},{"key":"ref_16","doi-asserted-by":"crossref","first-page":"303","DOI":"10.1089\/vbz.2016.2025","article-title":"Yersinia spp. in Wild Rodents and Shrews in Finland","volume":"17","author":"Joutsen","year":"2017","journal-title":"Vector-Borne Zoonotic Dis."},{"key":"ref_17","doi-asserted-by":"crossref","first-page":"872","DOI":"10.1016\/j.fm.2009.06.001","article-title":"Pathogenic Yersinia enterocolitica 2\/O:9 and Yersinia pseudotuberculosis 1\/O:1 strains isolated from human and non-human sources in the Plateau State of Nigeria","volume":"26","author":"Okwori","year":"2009","journal-title":"Food Microbiol."},{"key":"ref_18","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1016\/j.ijid.2016.03.008","article-title":"Yersiniosis in France: Overview and potential sources of infection","volume":"46","author":"Martin","year":"2016","journal-title":"Int. J. Infect. Dis."},{"key":"ref_19","doi-asserted-by":"crossref","first-page":"35","DOI":"10.5334\/gh.920","article-title":"Global burden of aortic aneurysm and attributable risk factors from 1990 to 2017","volume":"16","author":"Wei","year":"2021","journal-title":"Glob. Hear."},{"key":"ref_20","doi-asserted-by":"crossref","first-page":"2682","DOI":"10.1093\/eurheartj\/ehad386","article-title":"Pathogenesis and management of abdominal aortic aneurysm","volume":"44","author":"Golledge","year":"2023","journal-title":"Eur. Hear. J."},{"key":"ref_21","doi-asserted-by":"crossref","first-page":"14786","DOI":"10.1038\/s41598-018-32100-2","article-title":"Tobacco smoking and the risk of abdominal aortic aneurysm: A systematic review and meta-analysis of prospective studies","volume":"8","author":"Aune","year":"2018","journal-title":"Sci. Rep."},{"key":"ref_22","doi-asserted-by":"crossref","first-page":"1112430","DOI":"10.3389\/fcvm.2023.1112430","article-title":"Protection of diabetes in aortic abdominal aneurysm: Are antidiabetics the real effectors?","volume":"10","author":"Picatoste","year":"2023","journal-title":"Front. Cardiovasc. Med."},{"key":"ref_23","doi-asserted-by":"crossref","first-page":"1032","DOI":"10.1007\/s00261-017-1450-7","article-title":"Epidemiology and contemporary management of abdominal aortic aneurysms","volume":"43","author":"Ullery","year":"2018","journal-title":"Abdom. Radiol."},{"key":"ref_24","doi-asserted-by":"crossref","first-page":"58","DOI":"10.1055\/s-0038-1657771","article-title":"Abdominal Aortic Aneurysm: Evolving Controversies and Uncertainties","volume":"27","author":"Carino","year":"2018","journal-title":"Int. J. Angiol."},{"key":"ref_25","doi-asserted-by":"crossref","first-page":"92","DOI":"10.1038\/nrcardio.2010.180","article-title":"Pathophysiology and epidemiology of abdominal aortic aneurysms","volume":"8","author":"Nordon","year":"2011","journal-title":"Nat. Rev. Cardiol."},{"key":"ref_26","doi-asserted-by":"crossref","first-page":"900","DOI":"10.1067\/mva.2001.118084","article-title":"Infected aortic aneurysms: Aggressive presentation, complicated early outcome, but durable results","volume":"34","author":"Oderich","year":"2001","journal-title":"J. Vasc. Surg."},{"key":"ref_27","doi-asserted-by":"crossref","first-page":"106","DOI":"10.1067\/mva.2001.110356","article-title":"Mycotic aneurysms of the thoracic and abdominal aorta and iliac arteries: Experience with anatomic and extra-anatomic repair in 33 cases","volume":"33","author":"Wegener","year":"2001","journal-title":"J. Vasc. Surg."},{"key":"ref_28","doi-asserted-by":"crossref","first-page":"30","DOI":"10.1016\/j.jvs.2004.03.020","article-title":"Infected aortic aneurysms: Clinical outcome and risk factor analysis","volume":"40","author":"Hsu","year":"2004","journal-title":"J. Vasc. Surg."},{"key":"ref_29","doi-asserted-by":"crossref","first-page":"S51","DOI":"10.1016\/j.jvir.2008.02.012","article-title":"Stent-graft treatment of mycotic aneurysms: A review of the current literature","volume":"19","author":"Razavi","year":"2008","journal-title":"J. Vasc. Interv. Radiol."},{"key":"ref_30","doi-asserted-by":"crossref","first-page":"436","DOI":"10.1016\/S0967-2109(01)00028-X","article-title":"Surgical outcome of infectious aneurysm of the abdominal aorta with or without SIRS","volume":"9","author":"Ihaya","year":"2001","journal-title":"Cardiovasc. Surg."},{"key":"ref_31","first-page":"e40336","article-title":"A Rare Case of Mycotic Aneurysm Due to Methicillin-Sensitive Staphylococcus aureus (MSSA) Bacteremia","volume":"15","author":"Dadana","year":"2023","journal-title":"Cureus"},{"key":"ref_32","doi-asserted-by":"crossref","first-page":"488","DOI":"10.1002\/clc.20578","article-title":"Infectious Thoracic Aortitis: A Literature Review","volume":"32","author":"Lopes","year":"2009","journal-title":"Clin. Cardiol."},{"key":"ref_33","doi-asserted-by":"crossref","first-page":"22","DOI":"10.1016\/j.jvn.2007.09.008","article-title":"Multiple mycotic aneurysms with a rare fungus, Aspergillus niger: A complex case report","volume":"26","author":"Parameswaran","year":"2008","journal-title":"J. Vasc. Nurs."},{"key":"ref_34","doi-asserted-by":"crossref","first-page":"467","DOI":"10.1136\/bmj.1.1262.467","article-title":"The Gulstonian Lectures, on Malignant Endocarditis","volume":"1","author":"Osler","year":"1885","journal-title":"Br. Med. J."},{"key":"ref_35","doi-asserted-by":"crossref","first-page":"3457","DOI":"10.1128\/JCM.00486-06","article-title":"Abdominal Aortic Aneurysm Infected by Yersinia pseudotuberculosis","volume":"44","author":"Hadou","year":"2006","journal-title":"J. Clin. Microbiol."},{"key":"ref_36","first-page":"545","article-title":"Infected abdominal aortic aneurysm due to Salmonella in a patient with diabetes mellitus","volume":"92","author":"Rumoroso","year":"2022","journal-title":"Arch. Cardiol. Mex."},{"key":"ref_37","doi-asserted-by":"crossref","first-page":"530","DOI":"10.1016\/j.athoracsur.2005.02.046","article-title":"Antimicrobial drug resistance in salmonella-infected aortic aneurysms","volume":"80","author":"Hsu","year":"2005","journal-title":"Ann. Thorac. Surg."},{"key":"ref_38","doi-asserted-by":"crossref","unstructured":"Matsui, K., Takahashi, K., Tashiro, M., Tanaka, T., Izumikawa, K., Miura, T., Eishi, K., Furumoto, A., and Ariyoshi, K. (2022). Clinical and microbiological characteristics and challenges in diagnosing infected aneurysm: A retrospective observational study from a single center in Japan. BMC Infect. Dis., 22.","DOI":"10.1186\/s12879-022-07567-0"},{"key":"ref_39","doi-asserted-by":"crossref","unstructured":"Guo, Y., Bai, Y., Yang, C., Wang, P., and Gu, L. (2018). Mycotic aneurysm due to Salmonella species: Clinical experiences and review of the literature. Braz. J. Med. Biol. Res., 51.","DOI":"10.1590\/1414-431x20186864"},{"key":"ref_40","doi-asserted-by":"crossref","first-page":"35","DOI":"10.1097\/00000441-198101000-00006","article-title":"Mycotic aneurysm due to Yersinia enterocolitica","volume":"281","author":"Plotkin","year":"1981","journal-title":"Am. J. Med. Sci."},{"key":"ref_41","doi-asserted-by":"crossref","first-page":"451","DOI":"10.1016\/0732-8893(85)90084-7","article-title":"Rupture of vascular prosthesis in a patient with Yersinia enterocolitica bacteremia","volume":"3","author":"Verhaegen","year":"1985","journal-title":"Diagn. Microbiol. Infect. Dis."},{"key":"ref_42","first-page":"122","article-title":"Mycotic aneurysm of the aorta due to Yersinia enterocolitica","volume":"9","author":"Peeters","year":"1987","journal-title":"Contrib. Microbiol. Immunol."},{"key":"ref_43","doi-asserted-by":"crossref","first-page":"338","DOI":"10.1007\/BF01712461","article-title":"A fatal case ofYersinia enterocolitica septicemia associated with mycotic aortic aneurysm","volume":"21","author":"Knudsen","year":"1993","journal-title":"Infection"},{"key":"ref_44","doi-asserted-by":"crossref","first-page":"1535","DOI":"10.1016\/0140-6736(93)90672-4","article-title":"Yersinia enterocolitica and mycotic aneurysm","volume":"341","author":"Prentice","year":"1993","journal-title":"Lancet"},{"key":"ref_45","doi-asserted-by":"crossref","first-page":"801","DOI":"10.1093\/clinids\/19.4.801","article-title":"Mycotic Aortic Aneurysm Due to Yersinia enterocolitica","volume":"19","author":"Hagensee","year":"1994","journal-title":"Clin. Infect. Dis."},{"key":"ref_46","first-page":"68","article-title":"Aortic aneurysms due to Yersinia enterocolitica: Three new cases and a review of the literature","volume":"21","author":"Morlat","year":"1996","journal-title":"J. Mal. Vasc."},{"key":"ref_47","doi-asserted-by":"crossref","first-page":"573","DOI":"10.1007\/BF02000446","article-title":"Multiple mycotic pseudoaneurysms due to Yersinia enterocolitica: Report of a case and review of the literature","volume":"10","author":"Donald","year":"1996","journal-title":"Ann. Vasc. Surg."},{"key":"ref_48","doi-asserted-by":"crossref","first-page":"314","DOI":"10.1016\/S0163-4453(97)93536-2","article-title":"Aortoabdominal aneurysm infected by Yersinia enterocolitica serotype O:9","volume":"35","author":"Musso","year":"1997","journal-title":"J. Infect."},{"key":"ref_49","doi-asserted-by":"crossref","first-page":"813","DOI":"10.1111\/j.1445-2197.1998.tb04689.x","article-title":"Yersinia enterocolitica and mycotic aneurysm","volume":"68","author":"Tame","year":"1998","journal-title":"Aust. N. Z. J. Surg."},{"key":"ref_50","first-page":"161","article-title":"Early vascular graft infection due to Yersinia enterocolitica after repair of an abdominal aortic aneurysm","volume":"45","author":"Abad","year":"2004","journal-title":"J. Cardiovasc. Surg."},{"key":"ref_51","doi-asserted-by":"crossref","first-page":"e002626","DOI":"10.1099\/jmmcr.0.002626","article-title":"Yersinia enterocolitica: A rare cause of infected aortic aneurysm successfully treated with antibiotics and endovascular repair","volume":"1","author":"Kumar","year":"2014","journal-title":"JMM Case Rep."},{"key":"ref_52","doi-asserted-by":"crossref","first-page":"13","DOI":"10.1016\/j.clinmicnews.2014.01.002","article-title":"Yersinia enterocolitica: A rare cause of infective endocarditis and mycotic aneurysm","volume":"36","author":"Mason","year":"2014","journal-title":"Clin. Microbiol. Newsl."},{"key":"ref_53","doi-asserted-by":"crossref","first-page":"61","DOI":"10.1016\/j.jvsc.2014.12.001","article-title":"The benefit of early repair for a mycotic aortic aneurysm due to Yersinia enterocolitica infection","volume":"1","author":"Kumar","year":"2015","journal-title":"J. Vasc. Surg. Cases"},{"key":"ref_54","doi-asserted-by":"crossref","first-page":"359","DOI":"10.14740\/jmc2931w","article-title":"Yersinia enterocolitica Bloodstream Infection","volume":"8","author":"Challener","year":"2017","journal-title":"J. Med. Cases"},{"key":"ref_55","doi-asserted-by":"crossref","first-page":"156","DOI":"10.3389\/fmed.2018.00156","article-title":"Yersinia enterocolitica in Italy: A case of septicemia and abdominal aortic aneurysm infection","volume":"5","author":"Rodio","year":"2018","journal-title":"Front. Med."},{"key":"ref_56","doi-asserted-by":"crossref","unstructured":"Ioannou, P., Vougiouklakis, G., Baliou, S., Miliara, E., and Kofteridis, D.P. (2021). Infective Endocarditis by Yersinia Species: A Systematic Review. Trop. Med. Infect. Dis., 6.","DOI":"10.3390\/tropicalmed6010019"},{"key":"ref_57","doi-asserted-by":"crossref","first-page":"20","DOI":"10.1128\/JCM.02185-13","article-title":"Homology analysis of pathogenic Yersinia species Yersinia enterocolitica, Yersinia pseudotuberculosis, and Yersinia pestis based on multilocus sequence typing","volume":"52","author":"Duan","year":"2014","journal-title":"J. Clin. Microbiol."},{"key":"ref_58","doi-asserted-by":"crossref","first-page":"326","DOI":"10.1016\/j.ijfoodmicro.2007.07.044","article-title":"Detection of chromosomal and plasmid\u2014encoded virulence determinants in Yersinia enterocolitica and other Yersiniaspp. isolated from food animals in Greece","volume":"118","author":"Kechagia","year":"2007","journal-title":"Int. J. Food Microbiol."},{"key":"ref_59","unstructured":"European Centre for Disease Prevention and Control (2021). Yersiniosis. ECDC. Annual Epidemiological Report for 2021, ECDC. Available online: https:\/\/www.ecdc.europa.eu\/sites\/default\/files\/documents\/AER%20yersiniosis%20-%202021.pdf."}],"container-title":["Microorganisms"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/2076-2607\/11\/12\/2911\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,10]],"date-time":"2025-10-10T21:36:42Z","timestamp":1760132202000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/2076-2607\/11\/12\/2911"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,12,2]]},"references-count":59,"journal-issue":{"issue":"12","published-online":{"date-parts":[[2023,12]]}},"alternative-id":["microorganisms11122911"],"URL":"https:\/\/doi.org\/10.3390\/microorganisms11122911","relation":{},"ISSN":["2076-2607"],"issn-type":[{"value":"2076-2607","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,12,2]]}}}