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Rapid etiological identification of Staphylococcus aureus (S. aureus) in spinal infections can be challenging, often delaying targeted therapy. We developed a machine learning model leveraging XGBoost to predict S. aureus etiology in spinal infections directly from routine laboratory indicators. The XGBoost model demonstrated superior predictive performance (AUC 0.812; 95%CI: 0.728-0.896) among four algorithms, with SHAP analysis identifying D-dimer, Monocyte Percentage, Albumin, and Alanine Aminotransferase as crucial predictors.
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http://dx.doi.org/10.1097/JS9.0000000000003035 | DOI Listing |
J Med Microbiol
September 2025
Department of Microbiology & Molecular Genetics, Oklahoma State University, Stillwater, OK, USA.
is an opportunistic fungal pathogen that causes pulmonary cryptococcosis, or an acute or chronic infection in the lungs, and cryptococcal meningitis, an infection of the brain and spinal column, in immunocompromised individuals. Fungal infections are responsible for ~1.7 million deaths each year.
View Article and Find Full Text PDFFront Vet Sci
August 2025
Fitzpatrick Referrals, Neurology Service, Eashing, United Kingdom.
Pug dogs are predisposed to thoracolumbar myelopathy associated with vertebral articular process dysplasia, suggesting a biomechanical etiology. While surgery is commonly pursued, long-term outcomes remain poorly defined. This retrospective descriptive case series reports on seven Pug dogs that underwent surgical treatment for thoracolumbar myelopathy and were followed up for at least 7 years postoperatively.
View Article and Find Full Text PDFCureus
August 2025
Anesthesia and Critical Care, Université Hassan II de Casablanca, Casablanca, MAR.
Nosocomial meningitis following spinal anesthesia is a rare but potentially life-threatening complication that breaches the central nervous system's natural defense barriers. This report presents a case of meningitis post spinal anesthesia, emphasizing the diagnostic, management, and preventive strategies for iatrogenic bacterial meningitis. A 53-year-old patient with sickle cell disease developed febrile confusion 10 days after spinal anesthesia for hemorrhoidal surgery, presenting with meningeal signs and positive infectious markers.
View Article and Find Full Text PDFCureus
August 2025
Primary and Secondary Health, Rural Health Center Mandi Ahmedabad, Okara, PAK.
Introduction: Fistula-in-ano is a relatively common benign disease of the anorectal region, which may pose considerable complications in terms of surgery, as this disease has the propensity to recur and may be accompanied by postoperative wound healing. Surgical therapy can be considered the key in the management, and surgery involves fistulectomy or fistulotomy as a part of surgical treatment. Nevertheless, due to the fear of slow healing of the wound and acquiring infection because of common methods, some other methods have been explored, and some have been suggested to be defined as the process of marsupialization, which could allow decreasing the size of the open wound and stimulate its recovery quicker.
View Article and Find Full Text PDFFront Neurol
August 2025
Department of Infectious Diseases, Shanghai Sixth People's Hospital Affiliated to Shanghai Jiao Tong University School of Medicine, Shanghai, China.
Aims: In this study, we aimed to analyze the pathogen detection results in spinal infections using percutaneous CT-guided biopsy or transforaminal endoscopic spinal biopsy.
Methods: This is a retrospective observational study of patients who underwent biopsy for spinal infection at Shanghai Sixth People's Hospital between December 2020 and June 2024. Data on demographics, clinical presentations, radiological findings, and histopathology were collected from medical records.