{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,13]],"date-time":"2026-08-13T20:41:22Z","timestamp":1786653682591,"version":"build-2736575974"},"reference-count":16,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"1","license":[{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2026,1]]},"abstract":"<jats:sec>\n                    <jats:title>Introduction:<\/jats:title>\n                    <jats:p>Brucellosis of the spine has emerged as a significant health concern in developing countries. Spinal brucellosis shares identical clinical and radiological features with tubercular spondylodiscitis. A wide range of nonspecific symptoms, chronicity of this disease, and tissue culture which is mostly invasive and time-consuming, pose a challenge in definitive diagnosis. In this study, we aim to report the clinical, radiological, and microbiological features of this disease and analyze the outcome of patients treated for spinal brucellosis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Materials and Methods:<\/jats:title>\n                    <jats:p>This retrospective study was conducted from 2018 to 2022 on confirmed cases of brucellosis of the spine who had adequate follow-up of at least 2 years after completion of treatment.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>In this retrospective analysis, 10 patients had spinal brucellosis. All of them had presented with chronic history of low back pain for a period of 3\u20136 months. Occupational exposure was present in six patients (60%). Five (50%) of them underwent surgical intervention due to failed\/doubtful diagnosis. Except for one patient, microbiological evidence of the infection was seen within 10 days from the tissue biopsy. All patients were treated with a triple regimen (gentamycin, doxycycline, and rifampin) for a period of 3 months as per World Health Organization protocol. All patients were healed of the disease with good functional outcome.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Culture, either blood or tissue, is the gold standard method for diagnosis of this zoonotic disease. Only 50% of the study patients underwent surgical debridement. All patients in the study had good outcome with 3 months of antibiotic therapy.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.4103\/jcvjs.jcvjs_168_25","type":"journal-article","created":{"date-parts":[[2026,1,15]],"date-time":"2026-01-15T15:02:28Z","timestamp":1768489348000},"page":"23-29","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["Spinal brucellosis \u2013 A mimicker of spinal tuberculosis: An analysis of 10 patients from a tertiary care center in India"],"prefix":"10.4103","volume":"17","author":[{"given":"Justin","family":"Arockiaraj","sequence":"first","affiliation":[{"name":"Department of Spine Surgery, Christian Medical College, Vellore, Tamil Nadu, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Arun","family":"Subramanian","sequence":"additional","affiliation":[{"name":"Department of Spine Surgery, Christian Medical College, Vellore, Tamil Nadu, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lakshmi Surya","family":"Nagarajan","sequence":"additional","affiliation":[{"name":"Department of Microbiology, Christian Medical College, Vellore, Tamil Nadu, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rohit","family":"Amritanand","sequence":"additional","affiliation":[{"name":"Department of Spine Surgery, Christian Medical College, Vellore, Tamil Nadu, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"John Antony Jude","family":"Prakash","sequence":"additional","affiliation":[{"name":"Department of Microbiology, Christian Medical College, Vellore, Tamil Nadu, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Venkatesh","family":"Krishnan","sequence":"additional","affiliation":[{"name":"Department of Spine Surgery, Christian Medical College, Vellore, Tamil Nadu, 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