ArticleCureus2025
Discitis, Diabetes, and Endocarditis: A Challenging Clinical Triad.
Article in Cureus, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
A 58-year-old male farmer from southern India with a history of diabetes mellitus presented with a one-year history of fever and progressive lower back pain. He was initiated on antitubercular therapy (ATT) for suspected tuberculous spondylitis. Despite three months of ATT, his symptoms worsened, with progressive constitutional symptoms and features of heart failure. Further evaluation revealed aortic valve vegetation and persistent lumbar spondylodiscitis. Serological and imaging findings, along with occupational exposure to livestock, led to a diagnosis of brucellosis with infective endocarditis and spondylodiscitis. The patient's condition deteriorated despite supportive care and antibiotics as per treatment guidelines. This case highlights the diagnostic challenges of brucellosis in endemic regions and underscores the importance of considering zoonotic infections in patients with atypical presentations of spondylodiscitis and endocarditis, in regions where both tuberculosis and brucellosis are endemic.
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