{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,27]],"date-time":"2026-04-27T17:55:02Z","timestamp":1777312502470,"version":"3.51.4"},"reference-count":40,"publisher":"Hamad bin Khalifa University Press (HBKU Press)","issue":"3","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2023]]},"abstract":"<jats:p>\n                    <jats:italic>De novo Aspergillus<\/jats:italic>\n                    infections of the appendicular skeleton are rare. A 72-year-old female presented with pain and deformity in her left lower limb and an inability to bear weight that had persisted for the last six months. A femur biopsy confirmed the diagnosis of extensive\n                    <jats:italic>Aspergillus<\/jats:italic>\n                    osteomyelitis, and the patient was treated with amphotericin B and oral voriconazole. The patient died of COVID-19 after 2.5 months of treatment. A diagnosis of\n                    <jats:italic>Aspergillus<\/jats:italic>\n                    osteomyelitis may be delayed because of its varied clinical presentation. To the best of our knowledge, this is the first known case of de novo neglected and extensive (multisite, multibone)\n                    <jats:italic>Aspergillus<\/jats:italic>\n                    osteomyelitis in an immunocompetent patient. This case highlights the importance of awareness in patients and treating physicians of this rare infection and its early diagnosis to prevent extensive spread.\n                  <\/jats:p>","DOI":"10.5339\/qmj.2023.25","type":"journal-article","created":{"date-parts":[[2023,9,24]],"date-time":"2023-09-24T09:30:32Z","timestamp":1695547832000},"source":"Crossref","is-referenced-by-count":0,"title":["Neglected extensive Aspergillus osteomyelitis of the pelvis, femur, and vertebra in an immunocompetent patient: A case report"],"prefix":"10.5339","volume":"2023","author":[{"given":"Roop","family":"Singh","sequence":"first","affiliation":[{"name":"Department of Orthopaedic Surgery, Paraplegia & Rehabilitation, Pt. B.D. Sharma PGIMS, Rohtak, Haryana, India Email: drroopsingh@rediffmail.com ORCID iD: https:\/\/orcid.org\/0000-0003-2800-0777"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anas","family":"Delair","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, Paraplegia & Rehabilitation, Pt. B.D. Sharma PGIMS, Rohtak, Haryana, India Email: drroopsingh@rediffmail.com ORCID iD: https:\/\/orcid.org\/0000-0003-2800-0777"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Svareen","family":"Kaur","sequence":"additional","affiliation":[{"name":"Dr. Baba Saheb Ambedkar Medical College, Rohini, New Delhi, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Monika","family":"Gupta","sequence":"additional","affiliation":[{"name":"Department of Pathology, Pt. B.D. Sharma PGIMS, Rohtak, Haryana, India"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"3277","reference":[{"key":"CIT0001","series-title":"J Am Acad Orthop Surg","first-page":"390\u2013401","article-title":"Fungal osteomyelitis and septic arthritis","volume":"22:","author":"Bariteau JT","year":"2014;"},{"key":"CIT0002","series-title":"Intern Med","first-page":"2991\u20134","article-title":"Aspergillus osteomyelitis developed from chronic pulmonary aspergillosis as a late complication to lobectomy for lung cancer","volume":"57:","author":"Uehara Y","year":"2018;"},{"key":"CIT0003","series-title":"J Infect","first-page":"478\u201393","article-title":"Aspergillus osteomyelitis: epidemiology, clinical manifestations, management, and outcome","volume":"68:","author":"Gamaletsou MN","year":"2014;"},{"key":"CIT0004","series-title":"N Engl J Med","first-page":"1870\u201384","article-title":"Aspergillosis","volume":"360:","author":"Segal 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