{"id":"https://openalex.org/W7225569691","doi":"https://doi.org/10.1186/s42358-026-00590-8","title":"Pyogenic versus tuberculous and brucellar spondylodiscitis in a Tunisian population: a bicentric comparative study","display_name":"Pyogenic versus tuberculous and brucellar spondylodiscitis in a Tunisian population: a bicentric comparative study","publication_year":2026,"publication_date":"2026-11-09","ids":{"openalex":"https://openalex.org/W7225569691","doi":"https://doi.org/10.1186/s42358-026-00590-8"},"language":"en","primary_location":{"id":"doi:10.1186/s42358-026-00590-8","doi":"https://doi.org/10.1186/s42358-026-00590-8","is_oa":true,"landing_page_url":"https://doi.org/10.1186/s42358-026-00590-8","pdf_url":null,"source":{"id":"https://openalex.org/S21218142","display_name":"Revista Brasileira de Reumatologia","issn_l":"0482-5004","issn":["0482-5004","1809-4570","2523-3106"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","dongbi-d","doyens","medline","norway-1","oarl","poland-20","poland-40","russia-white-list-3","scielo"],"host_organization":"https://openalex.org/P4310320990","host_organization_name":"Elsevier BV","host_organization_lineage":["https://openalex.org/P4310320990"],"host_organization_lineage_names":["Elsevier BV"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Advances in Rheumatology","raw_type":"journal-article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["crossref","doaj"],"open_access":{"is_oa":true,"oa_status":"gold","oa_url":"https://doi.org/10.1186/s42358-026-00590-8","any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5062592560","display_name":"Olfa Jomaa","orcid":"https://orcid.org/0000-0002-3688-5264","observed_orcids":["https://orcid.org/0000-0002-3688-5264"]},"institutions":[],"countries":[],"is_corresponding":true,"raw_author_name":"Olfa Jomaa","raw_affiliation_strings":["Rheumatology Department, Taher Sfar University Hospital, Mahdia, Tunisia"],"raw_orcid":"https://orcid.org/0000-0002-3688-5264","affiliations":[{"raw_affiliation_string":"Rheumatology Department, Taher Sfar University Hospital, Mahdia, Tunisia","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5070924449","display_name":"R. Bougossa","orcid":"https://orcid.org/0000-0002-6314-4840","observed_orcids":["https://orcid.org/0000-0002-6314-4840"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Rebeh Bougossa","raw_affiliation_strings":["Internal Medicine and Infectious Department, Taher Sfar University Hospital, Mahdia, Tunisia"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Internal Medicine and Infectious Department, Taher Sfar University Hospital, Mahdia, Tunisia","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5161275146","display_name":"Sabrina Baccouche","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Sabrina Baccouche","raw_affiliation_strings":["Internal Medicine and Infectious Department, Taher Sfar University Hospital, Mahdia, Tunisia"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Internal Medicine and Infectious Department, Taher Sfar University Hospital, Mahdia, Tunisia","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5113376206","display_name":"Mahbouba Ardhaoui","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Mahbouba Ardhaoui","raw_affiliation_strings":["Rheumatology Department, Taher Sfar University Hospital, Mahdia, Tunisia"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Rheumatology Department, Taher Sfar University Hospital, Mahdia, Tunisia","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5040364583","display_name":"Rihab Sarraj","orcid":"https://orcid.org/0000-0003-1562-8418","observed_orcids":["https://orcid.org/0000-0003-1562-8418"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Rihab Sarraj","raw_affiliation_strings":["Rheumatology Department, Taher Sfar University Hospital, Mahdia, Tunisia"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Rheumatology Department, Taher Sfar University Hospital, Mahdia, Tunisia","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5081017003","display_name":"Mouna Brahem","orcid":"https://orcid.org/0000-0002-2459-7820","observed_orcids":["https://orcid.org/0000-0002-2459-7820"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Mouna Brahem","raw_affiliation_strings":["Rheumatology Department, Taher Sfar University Hospital, Mahdia, Tunisia"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Rheumatology Department, Taher Sfar University Hospital, Mahdia, Tunisia","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5161268193","display_name":"Sirine Abdellatif","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Sirine Abdellatif","raw_affiliation_strings":["Rheumatology Department, Taher Sfar University Hospital, Mahdia, Tunisia"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Rheumatology Department, Taher Sfar University Hospital, Mahdia, Tunisia","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5062876362","display_name":"Narimane Ben Chekaya","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4210167430","display_name":"Hospital Fatuma Bourguiba Monastir","ror":"https://ror.org/05t1yee64","country_code":"TN","type":"healthcare","lineage":["https://openalex.org/I4210167430"]}],"countries":["TN"],"is_corresponding":false,"raw_author_name":"Narimane Ben Chekaya","raw_affiliation_strings":["Rheumatology Department, Fattouma Bourguiba University Hospital, Monastir, Tunisia"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Rheumatology Department, Fattouma Bourguiba University Hospital, Monastir, Tunisia","institution_ids":["https://openalex.org/I4210167430"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5027621896","display_name":"M. Jguirim","orcid":"https://orcid.org/0000-0003-4028-619X","observed_orcids":["https://orcid.org/0000-0003-4028-619X"]},"institutions":[{"id":"https://openalex.org/I4210167430","display_name":"Hospital Fatuma Bourguiba Monastir","ror":"https://ror.org/05t1yee64","country_code":"TN","type":"healthcare","lineage":["https://openalex.org/I4210167430"]}],"countries":["TN"],"is_corresponding":false,"raw_author_name":"Mahbouba Jguirim","raw_affiliation_strings":["Rheumatology Department, Fattouma Bourguiba University Hospital, Monastir, Tunisia"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Rheumatology Department, Fattouma Bourguiba University Hospital, Monastir, Tunisia","institution_ids":["https://openalex.org/I4210167430"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5161282119","display_name":"Ismail Bejia","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4210167430","display_name":"Hospital Fatuma Bourguiba Monastir","ror":"https://ror.org/05t1yee64","country_code":"TN","type":"healthcare","lineage":["https://openalex.org/I4210167430"]}],"countries":["TN"],"is_corresponding":false,"raw_author_name":"Ismail Bejia","raw_affiliation_strings":["Rheumatology Department, Fattouma Bourguiba University Hospital, Monastir, Tunisia"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Rheumatology Department, Fattouma Bourguiba University Hospital, Monastir, Tunisia","institution_ids":["https://openalex.org/I4210167430"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5107565189","display_name":"Fatma Elarbi","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Fatma Elarbi","raw_affiliation_strings":["Internal Medicine and Infectious Department, Taher Sfar University Hospital, Mahdia, Tunisia"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Internal Medicine and Infectious Department, Taher Sfar University Hospital, Mahdia, Tunisia","institution_ids":[]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5161285975","display_name":"Mohamed Younes","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Mohamed Younes","raw_affiliation_strings":["Rheumatology Department, Taher Sfar University Hospital, Mahdia, Tunisia"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Rheumatology Department, Taher Sfar University Hospital, Mahdia, Tunisia","institution_ids":[]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":1,"corresponding_author_ids":["https://openalex.org/A5062592560"],"corresponding_institution_ids":[],"apc_list":{"value":2490,"currency":"USD","value_usd":2490},"apc_paid":{"value":2490,"currency":"USD","value_usd":2490},"fwci":0.0,"has_fulltext":false,"cited_by_count":0,"citation_normalized_percentile":{"value":0.0,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":null,"issue":null,"first_page":null,"last_page":null},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T11381","display_name":"Infectious Diseases and Tuberculosis","score":1.0,"subfield":{"id":"https://openalex.org/subfields/2725","display_name":"Infectious Diseases"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T11381","display_name":"Infectious Diseases and Tuberculosis","score":1.0,"subfield":{"id":"https://openalex.org/subfields/2725","display_name":"Infectious Diseases"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11293","display_name":"Orthopedic Infections and Treatments","score":9.999999747378752e-05,"subfield":{"id":"https://openalex.org/subfields/2746","display_name":"Surgery"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10238","display_name":"Spine and Intervertebral Disc Pathology","score":0.0,"subfield":{"id":"https://openalex.org/subfields/2732","display_name":"Orthopedics and Sports Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/infectious-spondylodiscitis","display_name":"infectious spondylodiscitis","score":0.9160000085830688},{"id":"https://openalex.org/keywords/pyogenic-spondylodiscitis","display_name":"pyogenic spondylodiscitis","score":0.9959999918937683},{"id":"https://openalex.org/keywords/tuberculous-spondylodiscitis","display_name":"tuberculous spondylodiscitis","score":0.9700000286102295},{"id":"https://openalex.org/keywords/brucellar-spondylodiscitis","display_name":"brucellar spondylodiscitis","score":0.9639999866485596},{"id":"https://openalex.org/keywords/brucellosis","display_name":"brucellosis","score":0.7720000147819519},{"id":"https://openalex.org/keywords/tuberculosis","display_name":"tuberculosis","score":0.781000018119812},{"id":"https://openalex.org/keywords/staphylococcus-aureus","display_name":"Staphylococcus aureus","score":0.8610000014305115},{"id":"https://openalex.org/keywords/pathogen-differentiation","display_name":"pathogen differentiation","score":0.5490000247955322},{"id":"https://openalex.org/keywords/clinical-and-radiological-features","display_name":"clinical and radiological features","score":0.6949999928474426},{"id":"https://openalex.org/keywords/soft-tissue-abscess","display_name":"soft tissue abscess","score":0.8600000143051147},{"id":"https://openalex.org/keywords/inflammatory-markers","display_name":"inflammatory markers","score":0.5460000038146973}],"concepts":[{"id":"https://openalex.org/C2777771103","wikidata":"https://www.wikidata.org/wiki/Q7578955","display_name":"Spondylodiscitis","level":2,"score":0.9814000129699707},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.9714000225067139},{"id":"https://openalex.org/C137627325","wikidata":"https://www.wikidata.org/wiki/Q156318","display_name":"Etiology","level":2,"score":0.6692000031471252},{"id":"https://openalex.org/C2781429187","wikidata":"https://www.wikidata.org/wiki/Q156050","display_name":"Brucellosis","level":2,"score":0.65829998254776},{"id":"https://openalex.org/C126322002","wikidata":"https://www.wikidata.org/wiki/Q11180","display_name":"Internal medicine","level":1,"score":0.5637999773025513},{"id":"https://openalex.org/C2779650986","wikidata":"https://www.wikidata.org/wiki/Q2165411","display_name":"Spondylitis","level":3,"score":0.531499981880188},{"id":"https://openalex.org/C2781069245","wikidata":"https://www.wikidata.org/wiki/Q12204","display_name":"Tuberculosis","level":2,"score":0.5253999829292297},{"id":"https://openalex.org/C198451711","wikidata":"https://www.wikidata.org/wiki/Q327657","display_name":"Rheumatology","level":2,"score":0.46630001068115234},{"id":"https://openalex.org/C2779489039","wikidata":"https://www.wikidata.org/wiki/Q188121","display_name":"Staphylococcus aureus","level":3,"score":0.42500001192092896},{"id":"https://openalex.org/C555293320","wikidata":"https://www.wikidata.org/wiki/Q12206","display_name":"Diabetes mellitus","level":2,"score":0.4101000130176544},{"id":"https://openalex.org/C167135981","wikidata":"https://www.wikidata.org/wiki/Q2146302","display_name":"Retrospective cohort study","level":2,"score":0.3944000005722046},{"id":"https://openalex.org/C141071460","wikidata":"https://www.wikidata.org/wiki/Q40821","display_name":"Surgery","level":1,"score":0.375},{"id":"https://openalex.org/C2777402515","wikidata":"https://www.wikidata.org/wiki/Q52849","display_name":"Ankylosing spondylitis","level":2,"score":0.3691999912261963},{"id":"https://openalex.org/C90924648","wikidata":"https://www.wikidata.org/wiki/Q120569","display_name":"Gastroenterology","level":1,"score":0.32670000195503235},{"id":"https://openalex.org/C16005928","wikidata":"https://www.wikidata.org/wiki/Q171171","display_name":"Dermatology","level":1,"score":0.31349998712539673},{"id":"https://openalex.org/C2776460866","wikidata":"https://www.wikidata.org/wiki/Q170065","display_name":"Pathogen","level":2,"score":0.296099990606308},{"id":"https://openalex.org/C136948725","wikidata":"https://www.wikidata.org/wiki/Q1458306","display_name":"Soft tissue","level":2,"score":0.2937000095844269},{"id":"https://openalex.org/C190892606","wikidata":"https://www.wikidata.org/wiki/Q3512464","display_name":"Radiological weapon","level":2,"score":0.2856000065803528},{"id":"https://openalex.org/C107130276","wikidata":"https://www.wikidata.org/wiki/Q133805","display_name":"Epidemiology","level":2,"score":0.2551000118255615}],"mesh":[],"locations_count":1,"locations":[{"id":"doi:10.1186/s42358-026-00590-8","doi":"https://doi.org/10.1186/s42358-026-00590-8","is_oa":true,"landing_page_url":"https://doi.org/10.1186/s42358-026-00590-8","pdf_url":null,"source":{"id":"https://openalex.org/S21218142","display_name":"Revista Brasileira de Reumatologia","issn_l":"0482-5004","issn":["0482-5004","1809-4570","2523-3106"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","dongbi-d","doyens","medline","norway-1","oarl","poland-20","poland-40","russia-white-list-3","scielo"],"host_organization":"https://openalex.org/P4310320990","host_organization_name":"Elsevier BV","host_organization_lineage":["https://openalex.org/P4310320990"],"host_organization_lineage_names":["Elsevier BV"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Advances in Rheumatology","raw_type":"journal-article"}],"best_oa_location":{"id":"doi:10.1186/s42358-026-00590-8","doi":"https://doi.org/10.1186/s42358-026-00590-8","is_oa":true,"landing_page_url":"https://doi.org/10.1186/s42358-026-00590-8","pdf_url":null,"source":{"id":"https://openalex.org/S21218142","display_name":"Revista Brasileira de Reumatologia","issn_l":"0482-5004","issn":["0482-5004","1809-4570","2523-3106"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","dongbi-d","doyens","medline","norway-1","oarl","poland-20","poland-40","russia-white-list-3","scielo"],"host_organization":"https://openalex.org/P4310320990","host_organization_name":"Elsevier BV","host_organization_lineage":["https://openalex.org/P4310320990"],"host_organization_lineage_names":["Elsevier BV"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Advances in Rheumatology","raw_type":"journal-article"},"sustainable_development_goals":[{"score":1.0,"display_name":"Good health and well-being","id":"https://metadata.un.org/sdg/3"}],"study_designs":[{"display_name":"Observational Study","id":"https://openalex.org/study-designs/observational-study"}],"awards":[],"funders":[],"has_content":{"pdf":false,"grobid_xml":false},"content_urls":null,"referenced_works_count":0,"referenced_works":[],"related_works":["https://openalex.org/W4283704668","https://openalex.org/W4399482985","https://openalex.org/W2132197391","https://openalex.org/W4394740123","https://openalex.org/W7140773613","https://openalex.org/W7139072203","https://openalex.org/W4283693520","https://openalex.org/W4386216030","https://openalex.org/W4409689155","https://openalex.org/W2883412823"],"abstract_inverted_index":{"Abstract":[0],"Background":[1],"Infectious":[2,66],"spondylodiscitis":[3,101,107],"(ISD)":[4],"represents":[5],"a":[6,379],"serious":[7],"spinal":[8],"infection":[9],"with":[10,79,99,105,125,211,317,334,349],"significant":[11],"diagnostic":[12,381],"and":[13,20,28,44,65,71,90,103,134,170,181,203,230,283,294,313,319,328,358,383,413],"therapeutic":[14],"challenges.":[15],"In":[16,75,240,304,321],"Tunisia,":[17],"where":[18],"tuberculosis":[19],"brucellosis":[21],"are":[22],"endemic,":[23],"accurate":[24,49],"discrimination":[25],"between":[26,264],"pyogenic":[27,100,402],"specific":[29,106,404],"etiologies":[30,405],"is":[31],"essential":[32],"to":[33,40],"guide":[34],"appropriate":[35,419],"antimicrobial.":[36],"This":[37],"study":[38,61],"aims":[39],"identify":[41],"clinical,":[42,87,311],"laboratory,":[43],"radiological":[45,314],"features":[46],"that":[47],"enable":[48],"pathogen":[50,254],"differentiation":[51],"in":[52,63,69,95,194,278,297,352,387,406],"cases":[53,244,363],"lacking":[54,364],"microbiological":[55,91,365,411],"confirmation.":[56],"Methods":[57],"A":[58],"bicentric":[59,306],"retrospective":[60,356],"conducted":[62],"Rheumatology":[64],"Diseases":[67],"departments":[68],"Mahdia":[70],"Monastir,":[72],"Tunisia":[73],"(2012\u20132024).":[74],"total,":[76],"131":[77],"patients":[78,114,146,282],"ISD,":[80],"diagnosed":[81],"on":[82,343],"the":[83,96,250,298,337,355,359],"basis":[84],"of":[85,173,259,280,285,339,354,362,392,418],"integrated":[86],"biological,":[88],"radiological,":[89],"criteria,":[92],"were":[93,276],"included":[94],"study:":[97],"86":[98],"(PSD)":[102],"45":[104],"(SSD).":[108],"Results":[109],"PSD":[110,145,243,281,299,318],"predominantly":[111],"affected":[112],"older":[113],"(median":[115,152],"age":[116],"64":[117],"vs":[118,129,139,155,164,176,185,198,217,225,235,269],"50":[119],"years,":[120],"p":[121,131,142,158,167,178,187,200,208,219,227,237],"<":[122,132,143,168,179,228],"0.001),":[123,210,229],"presenting":[124],"acute":[126],"onset":[127],"(58.1%":[128],"24.4%,":[130],"0.001)":[133,169,180],"shorter":[135],"consultation":[136],"delays":[137],"(30":[138],"90":[140],"days,":[141],"0.001).":[144],"had":[147],"significantly":[148,263],"elevated":[149,329],"inflammatory":[150],"markers":[151],"CRP":[153],"90.36":[154],"28":[156],"mg/L,":[157],"=":[159,188,201,209,220,238],"0.004;":[160],"median":[161],"ESR":[162,330],"92.7":[163],"59.3":[165],"mm/h,":[166],"higher":[171,192],"prevalence":[172,193],"diabetes":[174,324],"(44.7%":[175],"13.3%,":[177],"renal":[182],"failure":[183],"(14%":[184],"2.2%,":[186],"0.034).":[189],"SSD":[190,286],"showed":[191],"rural":[195],"populations":[196],"(68.9%":[197],"50%,":[199],"0.033)":[202],"lower":[204],"socioeconomic":[205],"status":[206],"(":[207],"more":[212],"frequent":[213],"night":[214],"sweats":[215],"(48.9%":[216],"29.1%,":[218],"0.025),":[221],"vertebral":[222,340],"cysts":[223],"(33.3%":[224],"4.9%,":[226],"soft":[231],"tissue":[232],"abscesses":[233],"(72%":[234],"46.3%,":[236],"0.031).":[239],"microbiologically":[241],"confirmed":[242],"(50.0%;":[245],"43/86),":[246],"Staphylococcus":[247],"aureus":[248],"was":[249,291,346],"most":[251],"frequently":[252],"isolated":[253],"(62.8%;":[255],"27/43).":[256],"The":[257],"duration":[258],"antimicrobial":[260],"therapy":[261],"differed":[262],"groups":[265],"(PSD:":[266],"104":[267],"days":[268],"SSD:":[270],"270":[271],"days).":[272],"Favorable":[273],"clinical":[274,399],"outcomes":[275],"observed":[277],"83.7%":[279],"93.3%":[284],"patients.":[287],"Overall":[288],"cohort":[289],"mortality":[290],"3.8%":[292],"(5/131)":[293],"occurred":[295],"exclusively":[296],"group":[300],"(5/86;":[301],"5.8%).":[302],"Conclusions":[303],"this":[305],"study,":[307],"we":[308],"delineated":[309],"distinct":[310],"demographic,":[312],"profiles":[315],"associated":[316,333,348],"SSD.":[320,350],"multivariable":[322],"models,":[323],"mellitus,":[325],"advanced":[326],"age,":[327],"remained":[331],"independently":[332,347],"PSD,":[335],"whereas":[336],"presence":[338],"cystic":[341],"lesions":[342],"plain":[344],"radiography":[345],"However,":[351],"light":[353],"design":[357],"considerable":[360],"proportion":[361],"confirmation,":[366],"these":[367,393],"results":[368],"should":[369],"be":[370],"interpreted":[371],"as":[372,378],"clinically":[373],"informative":[374],"associations":[375],"rather":[376],"than":[377],"validated":[380],"algorithm":[382],"they":[384],"require":[385],"confirmation":[386,412],"larger":[388],"prospective":[389],"cohorts.":[390],"Recognition":[391],"differential":[394],"presentations":[395],"may":[396,414],"refine":[397],"pre-test":[398],"suspicion":[400],"for":[401],"versus":[403],"endemic":[407],"settings":[408],"while":[409],"awaiting":[410],"facilitate":[415],"earlier":[416],"initiation":[417],"empirical":[420],"therapy.":[421]},"counts_by_year":[],"updated_date":"2026-11-10T11:39:43.021295","created_date":"2026-11-09T00:00:00"}
