Abstract
Septic arthritis of the hip (SAH) is a prevalent form of infectious arthritis in children that can lead to serious complications if not promptly diagnosed and treated. A 6-year 4-month-old female child with a 1-year history of acute lymphoblastic leukemia chemotherapy was admitted to our hospital due to a 1-day fever. After 1 week, the child experienced right inguinal pain and exhibited severe restriction in the flexion of the right lower limb and hip. Consequently, edema was observed in the right lower extremity and foot. SAH was initially diagnosed using computed tomography and magnetic resonance imaging examinations of both hip joints. Subsequently, incision and irrigation procedure were performed on the hip joint. Following the surgery, pus metagenomic next-generation sequencing (mNGS) were conducted promptly, and the mNGS analysis indicated an Aeromonas veronii infection. The diagnosis of A. veronii SAH was subsequently confirmed through polymerase chain reaction. The child’s condition was successfully treated with a combination of amikacin and imipenem–cilastatin, leading to improvement and subsequent discharge in a satisfactory state. SAH caused by A. veronii is a rare occurrence, and the utilization of mNGS holds significant potential for the early detection of uncommon infections in immunosuppressed children.
1 Background
Aeromonas veronii, a Gram-negative, rod-shaped, and facultative anaerobic bacterium, is widely prevalent in aquatic environments [1]. As a noteworthy emerging zoonotic pathogen originating from aquatic sources, it can induce various ailments in immunosuppressed individuals, including gastroenteritis, skin and soft tissue infections, bacteremia, and even acute septic arthritis [2–4]. Between 32 and 40% of septic arthritis cases in children pertain to the hip joint, a prevalent and potentially severe condition primarily caused by bacterial agents [5]. While Staphylococcus aureus is the primary pathogen, other microorganisms with pathogenic potential, such as Escherichia coli, Salmonella enterica serovar Enteritidis, Group B Streptococcus are also implicated [6]. However, there is a lack of documented cases of septic arthritis of the hip (SAH) caused by A. veronii, which still has limited knowledge regarding the clinical presentation and treatment. Only three instances of arthritis caused by A. veronii in adults have been documented to date [2,7,8]. There have been no reported cases of SAH caused by A. veronii in children. Here, we report the first case of SAH due to A. veronii infection in a female child with acute lymphoblastic leukemia (ALL) that was confirmed by metagenomic next-generation sequencing (mNGS).
2 Case presentation
A 6-year 4-month-old female child visited to our hospital with a 1-day history of fever on 28 September 2023. One day before presentation, the child had fever and chills with no obvious inducement and the highest body temperature was 39.7°C. Despite receiving oral ibuprofen at home, the child continued to have recurrent fever. Upon evaluation in the emergency department, infection-related markers indicated a hypersensitive C-reactive protein (hs-CRP) level of 9.85 mg/L (normal range: 0–3 mg/L). Consequently, the child received empiric treatment consisting of a single dose (1.5 g) of cefoperazone and sulbactam sodium injection and was subsequently admitted to the hospital (on 29 September 2023). The child was diagnosed with ALL in December 2022 at our hospital, and has been undergoing chemotherapy treatment following the vincristine, daunorubicin, l-asparagine, and prednisone regimen up until the present time.
Upon admission, the physical examination revealed that the child was conscious but exhibited a diminished mood and pharyngeal congestion, while the examinations of the nervous system, cardiopulmonary system, and abdominal region showed no notable abnormalities. The routine blood test conducted upon admission on 29 September indicated a white blood cell count of 0.07 × 109/L (normal range: 4.3–11.3 × 109/L), a hemoglobin level of 96 g/L (normal range: 118–156 g/L), a platelet count of 66 × 109/L (normal range: 167–453 × 109/L), the lymphocyte and neutrophil count were not detected. Hs-CRP and procalcitonin levels were measured at 11.17 mg/L and 20.96 ng/mL (normal range: 0.00–0.05 ng/mL), respectively. The G test, galactomannan test, blood culture, and respiratory viral polymerase chain reaction (PCR) results all yielded negative findings. Chest computed tomography (CT) showed no obvious abnormalities. Empirical anti-infective treatment was initiated with intravenous imipenem–cilastatin sodium (0.6 g, q 6 h), platelets were replenished through blood transfusion, and subcutaneous granulocyte colony-stimulating factor was administered to stimulate granulocyte production upon admission. After 3 days of hospitalization, the child continued to experience fever with a maximum body temperature of 40.0°C. In order to address the infection, the administration of vancomycin hydrochloride (480 mg, q12h) was initiated; however, the therapeutic response remained unsatisfactory.
On the sixth day of admission, the child presented with right inguinal pain and the presence of multiple lymph nodes, approximately the size of mung beans, were palpable in the right inguinal area. Based on the results of a superficial lymphadenitis assessment using right inguinal color ultrasound, the child’s treatment regimen was adjusted to include a combination of vancomycin hydrochloride (480 mg, q12h) and imipenem–cilastatin sodium (0.6 g, q6h) for anti-infections. One week post-admission, the child continued to experience recurrent fever. Routine blood testing indicated myelosuppression following chemotherapy, prompting the addition of voriconazole (96 mg, q12h) for anti-infective treatment. Despite these interventions, the fever persisted and the child developed worsening right inguinal pain, accompanied by severe limitations in right lower limb flexion and right hip motion. Additionally, edema was observed in the right lower extremity and foot. CT and magnetic resonance imaging (MRI) examinations of bilateral hip joints revealed SAH in the right region (Figure 1a–c). Based on the findings of a bilateral inguinal color ultrasound, it was determined that the child was not a suitable candidate for hip aspirations. Following a multidisciplinary consultation, it was ultimately advised that she undergo an incision, irrigation, and drainage procedure on the right hip, under general anesthesia, scheduled for 11 October 2023. The examination of the joint cavity revealed a substantial amount of necrotic tissue, and a drainage of 1 mL of yellowish pus was performed from the right hip. The collected joint pus was subsequently submitted for PACEseq mNGS analysis. Detailed method of mNGS is described in the supplementary methods. The results of mNGS analysis conducted after 24 h revealed the presence of A. veronii, with a total of 953 unique reads (Figure 2). Further confirmation of A. veronii was obtained through PCR testing of the pus (Figures S1 and S2a and b), with additional details provided in the supplementary methods. Based on these findings, the child was diagnosed with SAH caused by A. veronii. Consequently, the administration of empiric vancomycin hydrochloride was discontinued, and a combination of amikacin (0.15 g, q12h) and imipenem/cilastatin was introduced for anti-infective therapy.

Radiograph check-up examinations. (a) Initial CT of bilateral hip joints showing aspiration of right hip joint effusion. (b) and (c) Initial MRI of bilateral hip joints showing marrow edema of right proximal femur and aspiration of right hip joint effusion. (d) and (e) Repeat MRI of bilateral hip joints on the 15th day after surgery showing a decrease in right hip capsule effusion compared to previous scans. (f) and (g) Repeat MRI of bilateral hip joints on the 26th day after surgery showing a further reduction in right hip capsule effusion and a significant reduction of soft tissue swelling. (h) and (i) Hip MRI at 1 month after discharge revealed a significant reduction in right hip capsule effusion and a marked decrease in the size of soft tissue edema. Red arrows indicate the target lesion.

A. veronii was detected by mNGS.
Following the aforementioned treatment, the child’s body temperature returned to normal on the sixth day after the surgical procedure. She did not report any complaints of right inguinal pain while under bed rest. Additionally, the edema in the right lower extremity and foot showed signs of improvement. A repeat bilateral hip MRI on the 15th day after surgery indicated a further decrease in right hip capsule effusion compared to previous scans (Figure 1d and e). The child’s body temperature remained stable, leading to the discontinuation of amikacin and its replacement with ceftazidime for anti-infection treatment. On the 26th postoperative day, she could walk independently, however, with a limp in the right lower limb. Subsequent bilateral hip MRI revealed a further reduction in right hip capsule effusion (Figure 1f and g), prompting the continuation of chemotherapy with the previously prescribed regimen. On the 33rd postoperative day, blood routine and infection indexes were all normal, and she was discharged on the postoperative Day 34. After she was discharged oral cefdinir dispersible tablets administration was continued (75 mg, tid 4 weeks).
One month after discharge, the child could walk and squat normally without abnormal gait. Hip MRI revealed a significant reduction in right hip capsule effusion and a marked decrease in the size of soft tissue edema (Figure 1h and i). The clinical progression is depicted in Figure 3.

Timeline of the condition diagnosis.
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Informed consent: Informed consent has been obtained from all individuals included in this study.
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Ethical approval: The research related to human use has been complied with all the relevant national regulations, institutional policies and in accordance with the tenets of the Helsinki Declaration, and has been approved by the Ethical Review Committee of Affiliated Children’s Hospital of Xi’an Jiaotong University (2023-002-02).
3 Discussion and conclusion
To the best of our knowledge, the occurrence of SAH caused by A. veronii is exceedingly rare, with minimal prior studies documenting such cases. In this study, we present the first document case of A. veronii identified as the causative pathogen in joint pus in a female child with ALL, detected by mNGS and confirmed by PCR.
SAH is a common septic joint condition in children and, if untreated, can lead to severe complications [5,9]. Clinical signs of SAH may include fever, hip pain, and restricted range of motion [10,11], though early diagnosis can be challenging due to the lack of typical symptoms. In this case, the child initially presented with fever, followed by right inguinal pain on Day 6, and typical SAH symptoms only appeared a week after admission. Consequently, SAH was not initially suspected. The primary cause of septic arthritis in children is typically hematogenous spread, with the hip joint being particularly susceptible [11]. In this case, the child had no signs of bloodstream infection, and blood cultures were negative. Additionally, there was no recent trauma, skin ulceration, or seafood consumption, leaving the infection source unclear.
S. aureus is the predominant organism commonly associated with SAH, and there has been a notable rise in the prevalence of methicillin-resistant S. aureus in recent times [12]. Kingella kingae and Streptocococcus species constitute the majority of the remaining cultured organisms [13]. Over the past few years, an increasing number of untypical pathogens have been identified in SAH. For instance, a case study involving a young boy diagnosed with hemophagocytic lymphohistiocytosis revealed fungal hip arthritis, indicating the need to consider underlying immunologic deficiencies and atypical infectious causes of septic arthritis [14]. However, according to existing literature, blood and joint fluid cultures frequently yield negative results, with a reported false-negative rate of 78% for Gram-stain microscopy in cases of septic arthritis [15]. Specifically, the Gram stain revealed the presence of bacteria in only 4% of cases, while the fluid culture yielded positive results in 17% of cases, thereby complicating the diagnosis and treatment process [16].
mNGS enables comprehensive and highly sensitive identification of pathogens, independent of traditional culture methods. Previous studies have demonstrated that the positive rate of mNGS (69.1%) is higher than culture (45.2%) and usual care (culture + PCR) (57.1%) in pediatric osteoarticular infections [17], and the accuracy of mNGS was significantly higher at 71.2% compared to the culture at 39.0% [18]. In our clinical setting, mNGS has been routinely employed for pathogen detection in critically ill patients, particularly among immunosuppressed pediatric individuals. In this particular instance, the child exhibited a 1-year duration of ALL and had received chemotherapy treatments, rendering them susceptible to various opportunistic infections. The identification of A. veronii through pus mNGS in the child was not surprising. Nevertheless, mNGS also has limitations, interpreting mNGS results is challenging and often requires assistance from mNGS laboratory experts, and reported results may not reflect the patient’s true infectious status. In addition to interpretation challenges, the expense and turnaround time of commercial mNGS must be considered. Therefore, we used the PCR method to verify the mNGS results in this case. Unfortunately, pus culture was not performed initially due to an insufficient sample size. During surgery, a diagnostic puncture of the right hip joint yielded 1 mL of yellow purulent fluid. Following this, an incision, irrigation, and drainage with tube placement were performed. Upon opening the joint capsule, significant necrotic tissue and yellowish pus were observed, and extensive irrigation with saline and iodine solution was carried out. However, the pus was contaminated with iodine, rendering it unsuitable for culture. Given the limited volume of viable sample and the high sensitivity of mNGS, the purulent fluid from the initial diagnostic puncture was sent for mNGS testing after family consent. As a result, microbiological culture and antibiotic susceptibility testing were not performed. In clinical practice, when sample collection is relatively easy and the sample size is sufficient, traditional and cost-effective diagnostic methods, such as culturing, are still preferred for pathogen identification.
A. veronii, classified under Proteobacteria, is recognized as a potential pathogen in aquaculture [1,19]. It is also an emerging human enteric pathogen, causing mainly gastroenteritis with various severities and also often being detected in patients with inflammatory bowel disease [20,21]. Aeromonas spp. infections particularly extra-intestinal infections have increased in frequency recently. Previous study suggested that Aeromonas spp. has an important role in pediatric practice and requires appropriate attention and monitoring [21]. To date, there have been no reported cases of SAH caused by A. veronii in children. Our case study suggests that A. veronii may serve as a potential causative agent in immunosuppressed children.
Potential sequelae of SAH encompass chondrolysis, avascular necrosis of the femoral head, and growth disturbance of the proximal femur. These complications have the potential to lead to profound disability, thereby potentially requiring reconstructive intervention in due course [22,23]. Timely identification and treatment can effectively prevent significant complications. The therapeutic approaches for SAH include surgical intervention and antibiotic therapy. Drainage of SAH can be achieved through arthrocentesis, arthroscopy, or arthrotomy. Arthrocentesis and arthroscopy are effective choices for the treatment of SAH, arthrotomy might be associated with inferior clinical outcomes and more radiological sequelae [24,25]. However, in this particular case, arthrocentesis was not a viable option due to the significant thickening of the hip synovium. Fortunately, the child did not experience any sequelae or complications following surgery. Retrospective study demonstrated all Aeromonas species isolates were uniformly susceptible to cefepime, amikacin, azithromycin, and meropenem [26], and the amikacin along with imipenem showed good penetration into bone and joint tissues reaching concentrations exceeding the MIC90 and/or MIC breakpoints of common bone and joint infections pathogens [27]. Therefore, amikacin combined with imipenem/cilastatin were selected to as anti-infective agents in our case. Subsequently, the patient experienced a favorable outcome and remained asymptomatic during the follow-up period. The diagnosis and treatment of this case can serve as a reference for similar cases in the future.
Our case report serves to emphasize the occurrence of a rare case of SAH in an immunosuppressed child caused by A. veronii, thereby highlighting the importance of pediatricians’ awareness of such cases. Furthermore, mNGS emerges as a potent diagnostic tool for immunosuppressed children with uncommon infections, effectively preventing missed or incorrect diagnoses.
Acknowledgements
The authors thank the patients and her family involved in this study. They also thank the Shaanxi Institute of Pediatric Diseases at Affiliated Children’s Hospital of Xi’an Jiaotong University and Hugobiotech Co., Ltd for their help.
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Funding information: This work was supported by the Key Research and Development Program of Shaanxi Province (2023-ZDLSF-38), Science and Technology Project of Xi’an (22XYJ0003), and Common Technology Research And Development Platform of Shaanxi Province (2023GXJS-01).
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Author contributions: All authors have accepted responsibility for the entire content of this manuscript and consented to its submission to the journal, reviewed all the results and approved the final version of the manuscript. Guidance: Haibin Wu and Juan Wang; data acquisition: Yuan Tian and Ying Yang; interpretation: Tianwei Lin and Guoxia Wang; writing: Yuan Tian and Xuying Yang; critical revision: Ye Zhang. All authors have read and agreed to the published version of the manuscript.
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Conflict of interest: Authors state no conflict of interest.
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Data availability statement: The datasets generated during and/or analyzed during the current study are available from the corresponding author on reasonable request.
References
[1] Fernandez-Bravo A, Figueras MJ. An update on the genus aeromonas: taxonomy, epidemiology, and pathogenicity. Microorganisms. 2020;8(1):129. 10.3390/microorganisms8010129. PubMed PMID: 31963469; PubMed Central PMCID: PMCPMC7022790.Search in Google Scholar PubMed PubMed Central
[2] Wang D, Sun F, Li Z, Hu Y, Xu R. Acute septic arthritis of shoulder joint caused by Aeromonas veronii biotype sobria. Orthopade. 2018;47(12):1027–31. 10.1007/s00132-018-3585-9. PubMed PMID: 29872872.Search in Google Scholar PubMed
[3] Beger B, von Loewenich F, Goetze E, Moergel M, Walter C. Leech related Aeromonas veronii complex infection after reconstruction with a microvascular forearm flap. J Maxillofac Oral Surg. 2018;17(1):68–70. 10.1007/s12663-016-0961-z. Epub 2016 Sep 6. PubMed PMID: 29382997; PubMed Central PMCID: PMCPMC5772016.Search in Google Scholar PubMed PubMed Central
[4] Zhao J, Wu T, Wang S, Wang H. Aeromonas veronii-associated bacteremia in the course of treatment of acute myeloid leukemia: a case report and review of the literature. Discov Oncol. 2024;15(1):493. 10.1007/s12672-024-01362-w. PubMed PMID: 39331282; PubMed Central PMCID: PMCPMC11436595.Search in Google Scholar PubMed PubMed Central
[5] Swarup I, LaValva S, Shah R, Sankar WN. Septic arthritis of the hip in children: a critical analysis review. JBJS Rev. 2020;8(2):e0103. 10.2106/JBJS.RVW.19.00103. PubMed PMID: 32224630.Search in Google Scholar PubMed
[6] Balato G, de Matteo V, Ascione T, de Giovanni R, Marano E, Rizzo M, et al. Management of septic arthritis of the hip joint in adults. A systematic review of the literature. BMC Musculoskelet Disord. 2021;22(Suppl 2):1006. 10.1186/s12891-021-04843-z. PubMed PMID: 34856966; PubMed Central PMCID: PMC PMC8641144.Search in Google Scholar PubMed PubMed Central
[7] Steinfeld S, Rossi C, Bourgeois N, Mansoor I, Thys JP, Appelboom T. Septic arthritis due to Aeromonas veronii biotype sobria. Clin Infect Dis. 1998;27(2):402–3. 10.1086/517702. PubMed PMID: 9709899.Search in Google Scholar PubMed
[8] Roberts MTM, Enoch DA, Harris KA, Karas JA. Aeromonas veronii biovar sobria bacteraemia with septic arthritis confirmed by 16S rDNA PCR in an immunocompetent adult. J Med Microbiol. 2006;55(Pt 2):241–3. 10.1099/jmm.0.46295-0. PubMed PMID: 16434719.Search in Google Scholar PubMed
[9] Rutz E. Septic arthritis of the hip joint in children is an emergency. Afr J Paediatr Surg. 2012;9(1):1–2. 10.4103/0189-6725.93292. PubMed PMID: 22382095.Search in Google Scholar PubMed
[10] Nannini A, Giorgino R, Bianco Prevot L, Bobba A, Curci D, Cecchinato R, et al. Septic arthritis in the pediatric hip joint: a systematic review of diagnosis, management, and outcomes. Front Pediatr. 2023;11:1311862. 10.3389/fped.2023.1311862. PubMed PMID: 38188916; PubMed Central PMCID: PMCPMC10771295.Search in Google Scholar PubMed PubMed Central
[11] Mooney JF, 3rd, Murphy RF. Septic arthritis of the pediatric hip: update on diagnosis and treatment. Curr Opin Pediatr. 2019;31(1):79–85. 10.1097/MOP.0000000000000703. PubMed PMID: 30461509.Search in Google Scholar PubMed
[12] Murphy RF, Plumblee L, Barfield WB, Murphy JS, Fuerstenau N, Spence DD, et al. Septic arthritis of the hip-risk factors associated with secondary surgery. J Am Acad Orthop Surg. 2019;27(9):321–6. 10.5435/JAAOS-D-18-00058. PubMed PMID: 30520802.Search in Google Scholar PubMed
[13] Hunter S, Chan H, Baker JF. Global epidemiology of childhood bone and joint infection: a systematic review. Infection. 2022;50(2):329–41. 10.1007/s15010-021-01741-3. Epub 2022 Jan 20. PubMed PMID: 35048321.Search in Google Scholar PubMed
[14] Acker WB, 2nd, Nixon SL, Lee JJ, Jacobson NA, Haftel H, Farley FA. Septic arthritis of the hip in the setting of hemophagocytic lymphohistiocytosis: a case report. JBJS Case Connect. 2015;5(3):e69. 10.2106/JBJS.CC.N.00230. PubMed PMID: 29252856.Search in Google Scholar PubMed
[15] Stirling P, Faroug R, Amanat S, Ahmed A, Armstrong M, Sharma P, et al. False-negative rate of gram-stain microscopy for diagnosis of septic arthritis: suggestions for improvement. Int J Microbiol. 2014;2014:830857. 10.1155/2014/830857. Epub 2014 Feb 13. PubMed PMID: 24678320; PubMed Central PMCID: PMCPMC3943256.Search in Google Scholar PubMed PubMed Central
[16] Moro-Lago I, Talavera G, Moraleda L, Gonzalez-Moran G. Clinical presentation and treatment of septic arthritis in children. Rev Esp Cir Ortop Traumatol. 2017;61(3):170–5. 10.1016/j.recot.2017.02.002. Epub 2017 Apr 1. PubMed PMID: 28373088.Search in Google Scholar PubMed
[17] Ramchandar N, Burns J, Coufal NG, Pennock A, Briggs B, Stinnett R, et al. Use of metagenomic next-generation sequencing to identify pathogens in pediatric osteoarticular infections. Open Forum Infect Dis. 2021;8(7):ofab346. 10.1093/ofid/ofab346. PubMed PMID: 34322569; PubMed Central PMCID: PMCPMC8314938.Search in Google Scholar PubMed PubMed Central
[18] Gao Z, Zheng W, Zhang M, Gao Y, Huang J, Chen X, et al. Metagenomic next-generation sequencing promotes pathogen detection over culture in joint infections with previous antibiotic exposure. Front Cell Infect Microbiol. 2024;14:1388765. 10.3389/fcimb.2024.1388765. PubMed PMID: 39253328; PubMed Central PMCID: PMCPMC11381500.Search in Google Scholar PubMed PubMed Central
[19] Song HC, Yang BT, Zhao T, Sun YF, Zhou JH, Shan XF, et al. Comparative genomics analysis of strains from diverse sources reveals the evolutionary relationship of Aeromonas veronii. Microb Pathog. 2021;159:105134. 10.1016/j.micpath.2021.105134. Epub 2021 Aug 14. PubMed PMID: 34400283.Search in Google Scholar PubMed
[20] Grave I, Rudzate A, Nagle A, Miklasevics E, Gardovska D. Prevalence of Aeromonas spp. infection in pediatric patients hospitalized with gastroenteritis in latvia between 2020 and 2021. Children (Basel). 2022;9(11):1684. 10.3390/children9111684. PubMed PMID: 36360412; PubMed Central PMCID: PMCPMC9688984.Search in Google Scholar PubMed PubMed Central
[21] Liu F, Yuwono C, Tay ACY, Wehrhahn MC, Riordan SM, Zhang L. Analysis of global Aeromonas veronii genomes provides novel information on source of infection and virulence in human gastrointestinal diseases. BMC Genomics. 2022;23(1):166. 10.1186/s12864-022-08402-1. PubMed PMID: 35227192; PubMed Central PMCID: PMCPMC8883699.Search in Google Scholar PubMed PubMed Central
[22] Agarwal A, Rastogi P. Septic sequelae of hip in children: long-term clinicoradiological outcome study. J Pediatr Orthop B. 2021;30(6):563–71. 10.1097/BPB.0000000000000828. PubMed PMID: 33136797.Search in Google Scholar PubMed
[23] Baghdadi T, Saberi S, Sobhani Eraghi A, Arabzadeh A, Mardookhpour S. Late sequelae of hip septic arthritis in children. Acta Med Iran. 2012;50(7):463–7. PubMed PMID: 22930377.Search in Google Scholar
[24] Donders CM, Spaans AJ, Bessems J, van Bergen CJA. A systematic review of the optimal drainage technique for septic hip arthritis in children. Hip Int. 2022;32(5):685–93. 10.1177/1120700021989666. Epub 2021 Feb 10. PubMed PMID: 33566696.Search in Google Scholar PubMed
[25] Duman S, Camurcu Y, Ucpunar H, Cobden A, Karahan N, Sofu H. Arthroscopic treatment of acute septic arthritis of the hip joint in pediatric patients aged 10 years or younger. Arthroscopy. 2020;36(2):464–72. 10.1016/j.arthro.2019.08.031. Epub 2019 Nov 14. PubMed PMID: 31734041.Search in Google Scholar PubMed
[26] Mohan B, Sethuraman N, Verma R, Taneja N. Speciation, clinical profile & antibiotic resistance in Aeromonas species isolated from cholera-like illnesses in a tertiary care hospital in north India. Indian J Med Res. 2017;146(Suppl):S53–8. 10.4103/ijmr.IJMR_378_15. PubMed PMID: 29205196; PubMed Central PMCID: PMCPMC5735571.Search in Google Scholar PubMed PubMed Central
[27] Thabit AK, Fatani DF, Bamakhrama MS, Barnawi OA, Basudan LO, Alhejaili SF. Antibiotic penetration into bone and joints: an updated review. Int J Infect Dis. 2019;81:128–36. 10.1016/j.ijid.2019.02.005. Epub 2019 Feb 14. PubMed PMID: 30772469.Search in Google Scholar PubMed
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- Oncolytic bacteria: A revolutionary approach to cancer therapy
- A de novo meningioma with rapid growth: A possible malignancy imposter?
- Diagnosis of secondary tuberculosis infection in an asymptomatic elderly with cancer using next-generation sequencing: Case report
- Hesperidin and its zinc(ii) complex enhance osteoblast differentiation and bone formation: In vitro and in vivo evaluations
- Research progress on the regulation of autophagy in cardiovascular diseases by chemokines
- Anti-arthritic, immunomodulatory, and inflammatory regulation by the benzimidazole derivative BMZ-AD: Insights from an FCA-induced rat model
- Immunoassay for pyruvate kinase M1/2 as an Alzheimer’s biomarker in CSF
- The role of HDAC11 in age-related hearing loss: Mechanisms and therapeutic implications
- Evaluation and application analysis of animal models of PIPNP based on data mining
- Therapeutic approaches for liver fibrosis/cirrhosis by targeting pyroptosis
- Fabrication of zinc oxide nanoparticles using Ruellia tuberosa leaf extract induces apoptosis through P53 and STAT3 signalling pathways in prostate cancer cells
- Haplo-hematopoietic stem cell transplantation and immunoradiotherapy for severe aplastic anemia complicated with nasopharyngeal carcinoma: A case report
- Modulation of the KEAP1-NRF2 pathway by Erianin: A novel approach to reduce psoriasiform inflammation and inflammatory signaling
- The expression of epidermal growth factor receptor 2 and its relationship with tumor-infiltrating lymphocytes and clinical pathological features in breast cancer patients
- Innovations in MALDI-TOF Mass Spectrometry: Bridging modern diagnostics and historical insights
- BAP1 complexes with YY1 and RBBP7 and its downstream targets in ccRCC cells
- Hypereosinophilic syndrome with elevated IgG4 and T-cell clonality: A report of two cases
- Electroacupuncture alleviates sciatic nerve injury in sciatica rats by regulating BDNF and NGF levels, myelin sheath degradation, and autophagy
- Polydatin prevents cholesterol gallstone formation by regulating cholesterol metabolism via PPAR-γ signaling
- RNF144A and RNF144B: Important molecules for health
- Analysis of the detection rate and related factors of thyroid nodules in the healthy population
- Artesunate inhibits hepatocellular carcinoma cell migration and invasion through OGA-mediated O-GlcNAcylation of ZEB1
- Endovascular management of post-pancreatectomy hemorrhage caused by a hepatic artery pseudoaneurysm: Case report and review of the literature
- Efficacy and safety of anti-PD-1/PD-L1 antibodies in patients with relapsed refractory diffuse large B-cell lymphoma: A meta-analysis
- SATB2 promotes humeral fracture healing in rats by activating the PI3K/AKT pathway
- Overexpression of the ferroptosis-related gene, NFS1, corresponds to gastric cancer growth and tumor immune infiltration
- Understanding risk factors and prognosis in diabetic foot ulcers
- Atractylenolide I alleviates the experimental allergic response in mice by suppressing TLR4/NF-kB/NLRP3 signalling
- FBXO31 inhibits the stemness characteristics of CD147 (+) melanoma stem cells
- Immune molecule diagnostics in colorectal cancer: CCL2 and CXCL11
- Inhibiting CXCR6 promotes senescence of activated hepatic stellate cells with limited proinflammatory SASP to attenuate hepatic fibrosis
- Cadmium toxicity, health risk and its remediation using low-cost biochar adsorbents
- Pulmonary cryptococcosis with headache as the first presentation: A case report
- Solitary pulmonary metastasis with cystic airspaces in colon cancer: A rare case report
- RUNX1 promotes denervation-induced muscle atrophy by activating the JUNB/NF-κB pathway and driving M1 macrophage polarization
- Morphometric analysis and immunobiological investigation of Indigofera oblongifolia on the infected lung with Plasmodium chabaudi
- The NuA4/TIP60 histone-modifying complex and Hr78 modulate the Lobe2 mutant eye phenotype
- Experimental study on salmon demineralized bone matrix loaded with recombinant human bone morphogenetic protein-2: In vitro and in vivo study
- A case of IgA nephropathy treated with a combination of telitacicept and half-dose glucocorticoids
- Analgesic and toxicological evaluation of cannabidiol-rich Moroccan Cannabis sativa L. (Khardala variety) extract: Evidence from an in vivo and in silico study
- Wound healing and signaling pathways
- Combination of immunotherapy and whole-brain radiotherapy on prognosis of patients with multiple brain metastases: A retrospective cohort study
- To explore the relationship between endometrial hyperemia and polycystic ovary syndrome
- Research progress on the impact of curcumin on immune responses in breast cancer
- Biogenic Cu/Ni nanotherapeutics from Descurainia sophia (L.) Webb ex Prantl seeds for the treatment of lung cancer
- Dapagliflozin attenuates atrial fibrosis via the HMGB1/RAGE pathway in atrial fibrillation rats
- Glycitein alleviates inflammation and apoptosis in keratinocytes via ROS-associated PI3K–Akt signalling pathway
- ADH5 inhibits proliferation but promotes EMT in non-small cell lung cancer cell through activating Smad2/Smad3
- Apoptotic efficacies of AgNPs formulated by Syzygium aromaticum leaf extract on 32D-FLT3-ITD human leukemia cell line with PI3K/AKT/mTOR signaling pathway
- Novel cuproptosis-related genes C1QBP and PFKP identified as prognostic and therapeutic targets in lung adenocarcinoma
- Bee venom promotes exosome secretion and alters miRNA cargo in T cells
- Treatment of pure red cell aplasia in a chronic kidney disease patient with roxadustat: A case report
- Comparative bioinformatics analysis of the Wnt pathway in breast cancer: Selection of novel biomarker panels associated with ER status
- Kynurenine facilitates renal cell carcinoma progression by suppressing M2 macrophage pyroptosis through inhibition of CASP1 cleavage
- RFX5 promotes the growth, motility, and inhibits apoptosis of gastric adenocarcinoma cells through the SIRT1/AMPK axis
- ALKBH5 exacerbates early cardiac damage after radiotherapy for breast cancer via m6A demethylation of TLR4
- Phytochemicals of Roman chamomile: Antioxidant, anti-aging, and whitening activities of distillation residues
- Circadian gene Cry1 inhibits the tumorigenicity of hepatocellular carcinoma by the BAX/BCL2-mediated apoptosis pathway
- The TNFR-RIPK1/RIPK3 signalling pathway mediates the effect of lanthanum on necroptosis of nerve cells
- Longitudinal monitoring of autoantibody dynamics in patients with early-stage non-small-cell lung cancer undergoing surgery
- The potential role of rutin, a flavonoid, in the management of cancer through modulation of cell signaling pathways
- Construction of pectinase gene engineering microbe and its application in tobacco sheets
- Construction of a microbial abundance prognostic scoring model based on intratumoral microbial data for predicting the prognosis of lung squamous cell carcinoma
- Sepsis complicated by haemophagocytic lymphohistiocytosis triggered by methicillin-resistant Staphylococcus aureus and human herpesvirus 8 in an immunocompromised elderly patient: A case report
- Sarcopenia in liver transplantation: A comprehensive bibliometric study of current research trends and future directions
- Advances in cancer immunotherapy and future directions in personalized medicine
- Can coronavirus disease 2019 affect male fertility or cause spontaneous abortion? A two-sample Mendelian randomization analysis
- Heat stroke associated with novel leukaemia inhibitory factor receptor gene variant in a Chinese infant
- PSME2 exacerbates ulcerative colitis by disrupting intestinal barrier function and promoting autophagy-dependent inflammation
- Hyperosmolar hyperglycemic state with severe hypernatremia coexisting with central diabetes insipidus: A case report and literature review
- Efficacy and mechanism of escin in improving the tissue microenvironment of blood vessel walls via anti-inflammatory and anticoagulant effects: Implications for clinical practice
- Merkel cell carcinoma: Clinicopathological analysis of three patients and literature review
- Genetic variants in VWF exon 26 and their implications for type 1 Von Willebrand disease in a Saudi Arabian population
- Lipoxin A4 improves myocardial ischemia/reperfusion injury through the Notch1-Nrf2 signaling pathway
- High levels of EPHB2 expression predict a poor prognosis and promote tumor progression in endometrial cancer
- Knockdown of SHP-2 delays renal tubular epithelial cell injury in diabetic nephropathy by inhibiting NLRP3 inflammasome-mediated pyroptosis
- Exploring the toxicity mechanisms and detoxification methods of Rhizoma Paridis
- Concomitant gastric carcinoma and primary hepatic angiosarcoma in a patient: A case report
- Ecology and Environmental Science
- Optimization and comparative study of Bacillus consortia for cellulolytic potential and cellulase enzyme activity
- The complete mitochondrial genome analysis of Haemaphysalis hystricis Supino, 1897 (Ixodida: Ixodidae) and its phylogenetic implications
- Epidemiological characteristics and risk factors analysis of multidrug-resistant tuberculosis among tuberculosis population in Huzhou City, Eastern China
- Indices of human impacts on landscapes: How do they reflect the proportions of natural habitats?
- Genetic analysis of the Siberian flying squirrel population in the northern Changbai Mountains, Northeast China: Insights into population status and conservation
- Diversity and environmental drivers of Suillus communities in Pinus sylvestris var. mongolica forests of Inner Mongolia
- Global assessment of the fate of nitrogen deposition in forest ecosystems: Insights from 15N tracer studies
- Fungal and bacterial pathogenic co-infections mainly lead to the assembly of microbial community in tobacco stems
- Influencing of coal industry related airborne particulate matter on ocular surface tear film injury and inflammatory factor expression in Sprague-Dawley rats
- Temperature-dependent development, predation, and life table of Sphaerophoria macrogaster (Thomson) (Diptera: Syrphidae) feeding on Myzus persicae (Sulzer) (Homoptera: Aphididae)
- Eleonora’s falcon trophic interactions with insects within its breeding range: A systematic review
- Agriculture
- Integrated analysis of transcriptome, sRNAome, and degradome involved in the drought-response of maize Zhengdan958
- Variation in flower frost tolerance among seven apple cultivars and transcriptome response patterns in two contrastingly frost-tolerant selected cultivars
- Heritability of durable resistance to stripe rust in bread wheat (Triticum aestivum L.)
- Molecular mechanism of follicular development in laying hens based on the regulation of water metabolism
- Animal Science
- Effect of sex ratio on the life history traits of an important invasive species, Spodoptera frugiperda
- Plant Sciences
- Hairpin in a haystack: In silico identification and characterization of plant-conserved microRNA in Rafflesiaceae
- Widely targeted metabolomics of different tissues in Rubus corchorifolius
- The complete chloroplast genome of Gerbera piloselloides (L.) Cass., 1820 (Carduoideae, Asteraceae) and its phylogenetic analysis
- Field trial to correlate mineral solubilization activity of Pseudomonas aeruginosa and biochemical content of groundnut plants
- Correlation analysis between semen routine parameters and sperm DNA fragmentation index in patients with semen non-liquefaction: A retrospective study
- Plasticity of the anatomical traits of Rhododendron L. (Ericaceae) leaves and its implications in adaptation to the plateau environment
- Effects of Piriformospora indica and arbuscular mycorrhizal fungus on growth and physiology of Moringa oleifera under low-temperature stress
- Effects of different sources of potassium fertiliser on yield, fruit quality and nutrient absorption in “Harward” kiwifruit (Actinidia deliciosa)
- Comparative efficiency and residue levels of spraying programs against powdery mildew in grape varieties
- The DREB7 transcription factor enhances salt tolerance in soybean plants under salt stress
- Using plant electrical signals of water hyacinth (Eichhornia crassipes) for water pollution monitoring
- Food Science
- Phytochemical analysis of Stachys iva: Discovering the optimal extract conditions and its bioactive compounds
- Review on role of honey in disease prevention and treatment through modulation of biological activities
- Computational analysis of polymorphic residues in maltose and maltotriose transporters of a wild Saccharomyces cerevisiae strain
- Optimization of phenolic compound extraction from Tunisian squash by-products: A sustainable approach for antioxidant and antibacterial applications
- Liupao tea aqueous extract alleviates dextran sulfate sodium-induced ulcerative colitis in rats by modulating the gut microbiota
- Toxicological qualities and detoxification trends of fruit by-products for valorization: A review
- Polyphenolic spectrum of cornelian cherry fruits and their health-promoting effect
- Optimizing the encapsulation of the refined extract of squash peels for functional food applications: A sustainable approach to reduce food waste
- Advancements in curcuminoid formulations: An update on bioavailability enhancement strategies curcuminoid bioavailability and formulations
- Impact of saline sprouting on antioxidant properties and bioactive compounds in chia seeds
- The dilemma of food genetics and improvement
- Bioengineering and Biotechnology
- Impact of hyaluronic acid-modified hafnium metalorganic frameworks containing rhynchophylline on Alzheimer’s disease
- Emerging patterns in nanoparticle-based therapeutic approaches for rheumatoid arthritis: A comprehensive bibliometric and visual analysis spanning two decades
- Application of CRISPR/Cas gene editing for infectious disease control in poultry
- Preparation of hafnium nitride-coated titanium implants by magnetron sputtering technology and evaluation of their antibacterial properties and biocompatibility
- Preparation and characterization of lemongrass oil nanoemulsion: Antimicrobial, antibiofilm, antioxidant, and anticancer activities
- Corrigendum
- Corrigendum to “Utilization of convolutional neural networks to analyze microscopic images for high-throughput screening of mesenchymal stem cells”
- Corrigendum to “Effects of Ire1 gene on virulence and pathogenicity of Candida albicans”
- Retraction
- Retraction of “Down-regulation of miR-539 indicates poor prognosis in patients with pancreatic cancer”
Articles in the same Issue
- Biomedical Sciences
- Mechanism of triptolide regulating proliferation and apoptosis of hepatoma cells by inhibiting JAK/STAT pathway
- Maslinic acid improves mitochondrial function and inhibits oxidative stress and autophagy in human gastric smooth muscle cells
- Comparative analysis of inflammatory biomarkers for the diagnosis of neonatal sepsis: IL-6, IL-8, SAA, CRP, and PCT
- Post-pandemic insights on COVID-19 and premature ovarian insufficiency
- Proteome differences of dental stem cells between permanent and deciduous teeth by data-independent acquisition proteomics
- Optimizing a modified cetyltrimethylammonium bromide protocol for fungal DNA extraction: Insights from multilocus gene amplification
- Preliminary analysis of the role of small hepatitis B surface proteins mutations in the pathogenesis of occult hepatitis B infection via the endoplasmic reticulum stress-induced UPR-ERAD pathway
- Efficacy of alginate-coated gold nanoparticles against antibiotics-resistant Staphylococcus and Streptococcus pathogens of acne origins
- Battling COVID-19 leveraging nanobiotechnology: Gold and silver nanoparticle–B-escin conjugates as SARS-CoV-2 inhibitors
- Neurodegenerative diseases and neuroinflammation-induced apoptosis
- Impact of fracture fixation surgery on cognitive function and the gut microbiota in mice with a history of stroke
- COLEC10: A potential tumor suppressor and prognostic biomarker in hepatocellular carcinoma through modulation of EMT and PI3K-AKT pathways
- High-temperature requirement serine protease A2 inhibitor UCF-101 ameliorates damaged neurons in traumatic brain-injured rats by the AMPK/NF-κB pathway
- SIK1 inhibits IL-1β-stimulated cartilage apoptosis and inflammation in vitro through the CRTC2/CREB1 signaling
- Rutin–chitooligosaccharide complex: Comprehensive evaluation of its anti-inflammatory and analgesic properties in vitro and in vivo
- Knockdown of Aurora kinase B alleviates high glucose-triggered trophoblast cells damage and inflammation during gestational diabetes
- Calcium-sensing receptors promoted Homer1 expression and osteogenic differentiation in bone marrow mesenchymal stem cells
- ABI3BP can inhibit the proliferation, invasion, and epithelial–mesenchymal transition of non-small-cell lung cancer cells
- Changes in blood glucose and metabolism in hyperuricemia mice
- Rapid detection of the GJB2 c.235delC mutation based on CRISPR-Cas13a combined with lateral flow dipstick
- IL-11 promotes Ang II-induced autophagy inhibition and mitochondrial dysfunction in atrial fibroblasts
- Short-chain fatty acid attenuates intestinal inflammation by regulation of gut microbial composition in antibiotic-associated diarrhea
- Application of metagenomic next-generation sequencing in the diagnosis of pathogens in patients with diabetes complicated by community-acquired pneumonia
- NAT10 promotes radiotherapy resistance in non-small cell lung cancer by regulating KPNB1-mediated PD-L1 nuclear translocation
- Phytol-mixed micelles alleviate dexamethasone-induced osteoporosis in zebrafish: Activation of the MMP3–OPN–MAPK pathway-mediating bone remodeling
- Association between TGF-β1 and β-catenin expression in the vaginal wall of patients with pelvic organ prolapse
- Primary pleomorphic liposarcoma involving bilateral ovaries: Case report and literature review
- Effects of de novo donor-specific Class I and II antibodies on graft outcomes after liver transplantation: A pilot cohort study
- Sleep architecture in Alzheimer’s disease continuum: The deep sleep question
- Ephedra fragilis plant extract: A groundbreaking corrosion inhibitor for mild steel in acidic environments – electrochemical, EDX, DFT, and Monte Carlo studies
- Langerhans cell histiocytosis in an adult patient with upper jaw and pulmonary involvement: A case report
- Inhibition of mast cell activation by Jaranol-targeted Pirin ameliorates allergic responses in mouse allergic rhinitis
- Aeromonas veronii-induced septic arthritis of the hip in a child with acute lymphoblastic leukemia
- Clusterin activates the heat shock response via the PI3K/Akt pathway to protect cardiomyocytes from high-temperature-induced apoptosis
- Research progress on fecal microbiota transplantation in tumor prevention and treatment
- Low-pressure exposure influences the development of HAPE
- Stigmasterol alleviates endplate chondrocyte degeneration through inducing mitophagy by enhancing PINK1 mRNA acetylation via the ESR1/NAT10 axis
- AKAP12, mediated by transcription factor 21, inhibits cell proliferation, metastasis, and glycolysis in lung squamous cell carcinoma
- Association between PAX9 or MSX1 gene polymorphism and tooth agenesis risk: A meta-analysis
- A case of bloodstream infection caused by Neisseria gonorrhoeae
- Case of nasopharyngeal tuberculosis complicated with cervical lymph node and pulmonary tuberculosis
- p-Cymene inhibits pro-fibrotic and inflammatory mediators to prevent hepatic dysfunction
- GFPT2 promotes paclitaxel resistance in epithelial ovarian cancer cells via activating NF-κB signaling pathway
- Transfer RNA-derived fragment tRF-36 modulates varicose vein progression via human vascular smooth muscle cell Notch signaling
- RTA-408 attenuates the hepatic ischemia reperfusion injury in mice possibly by activating the Nrf2/HO-1 signaling pathway
- Decreased serum TIMP4 levels in patients with rheumatoid arthritis
- Sirt1 protects lupus nephritis by inhibiting the NLRP3 signaling pathway in human glomerular mesangial cells
- Sodium butyrate aids brain injury repair in neonatal rats
- Interaction of MTHFR polymorphism with PAX1 methylation in cervical cancer
- Convallatoxin inhibits proliferation and angiogenesis of glioma cells via regulating JAK/STAT3 pathway
- The effect of the PKR inhibitor, 2-aminopurine, on the replication of influenza A virus, and segment 8 mRNA splicing
- Effects of Ire1 gene on virulence and pathogenicity of Candida albicans
- Small cell lung cancer with small intestinal metastasis: Case report and literature review
- GRB14: A prognostic biomarker driving tumor progression in gastric cancer through the PI3K/AKT signaling pathway by interacting with COBLL1
- 15-Lipoxygenase-2 deficiency induces foam cell formation that can be restored by salidroside through the inhibition of arachidonic acid effects
- FTO alleviated the diabetic nephropathy progression by regulating the N6-methyladenosine levels of DACT1
- Clinical relevance of inflammatory markers in the evaluation of severity of ulcerative colitis: A retrospective study
- Zinc valproic acid complex promotes osteoblast differentiation and exhibits anti-osteoporotic potential
- Primary pulmonary synovial sarcoma in the bronchial cavity: A case report
- Metagenomic next-generation sequencing of alveolar lavage fluid improves the detection of pulmonary infection
- Uterine tumor resembling ovarian sex cord tumor with extensive rhabdoid differentiation: A case report
- Genomic analysis of a novel ST11(PR34365) Clostridioides difficile strain isolated from the human fecal of a CDI patient in Guizhou, China
- Effects of tiered cardiac rehabilitation on CRP, TNF-α, and physical endurance in older adults with coronary heart disease
- Changes in T-lymphocyte subpopulations in patients with colorectal cancer before and after acupoint catgut embedding acupuncture observation
- Modulating the tumor microenvironment: The role of traditional Chinese medicine in improving lung cancer treatment
- Alterations of metabolites related to microbiota–gut–brain axis in plasma of colon cancer, esophageal cancer, stomach cancer, and lung cancer patients
- Research on individualized drug sensitivity detection technology based on bio-3D printing technology for precision treatment of gastrointestinal stromal tumors
- CEBPB promotes ulcerative colitis-associated colorectal cancer by stimulating tumor growth and activating the NF-κB/STAT3 signaling pathway
- Oncolytic bacteria: A revolutionary approach to cancer therapy
- A de novo meningioma with rapid growth: A possible malignancy imposter?
- Diagnosis of secondary tuberculosis infection in an asymptomatic elderly with cancer using next-generation sequencing: Case report
- Hesperidin and its zinc(ii) complex enhance osteoblast differentiation and bone formation: In vitro and in vivo evaluations
- Research progress on the regulation of autophagy in cardiovascular diseases by chemokines
- Anti-arthritic, immunomodulatory, and inflammatory regulation by the benzimidazole derivative BMZ-AD: Insights from an FCA-induced rat model
- Immunoassay for pyruvate kinase M1/2 as an Alzheimer’s biomarker in CSF
- The role of HDAC11 in age-related hearing loss: Mechanisms and therapeutic implications
- Evaluation and application analysis of animal models of PIPNP based on data mining
- Therapeutic approaches for liver fibrosis/cirrhosis by targeting pyroptosis
- Fabrication of zinc oxide nanoparticles using Ruellia tuberosa leaf extract induces apoptosis through P53 and STAT3 signalling pathways in prostate cancer cells
- Haplo-hematopoietic stem cell transplantation and immunoradiotherapy for severe aplastic anemia complicated with nasopharyngeal carcinoma: A case report
- Modulation of the KEAP1-NRF2 pathway by Erianin: A novel approach to reduce psoriasiform inflammation and inflammatory signaling
- The expression of epidermal growth factor receptor 2 and its relationship with tumor-infiltrating lymphocytes and clinical pathological features in breast cancer patients
- Innovations in MALDI-TOF Mass Spectrometry: Bridging modern diagnostics and historical insights
- BAP1 complexes with YY1 and RBBP7 and its downstream targets in ccRCC cells
- Hypereosinophilic syndrome with elevated IgG4 and T-cell clonality: A report of two cases
- Electroacupuncture alleviates sciatic nerve injury in sciatica rats by regulating BDNF and NGF levels, myelin sheath degradation, and autophagy
- Polydatin prevents cholesterol gallstone formation by regulating cholesterol metabolism via PPAR-γ signaling
- RNF144A and RNF144B: Important molecules for health
- Analysis of the detection rate and related factors of thyroid nodules in the healthy population
- Artesunate inhibits hepatocellular carcinoma cell migration and invasion through OGA-mediated O-GlcNAcylation of ZEB1
- Endovascular management of post-pancreatectomy hemorrhage caused by a hepatic artery pseudoaneurysm: Case report and review of the literature
- Efficacy and safety of anti-PD-1/PD-L1 antibodies in patients with relapsed refractory diffuse large B-cell lymphoma: A meta-analysis
- SATB2 promotes humeral fracture healing in rats by activating the PI3K/AKT pathway
- Overexpression of the ferroptosis-related gene, NFS1, corresponds to gastric cancer growth and tumor immune infiltration
- Understanding risk factors and prognosis in diabetic foot ulcers
- Atractylenolide I alleviates the experimental allergic response in mice by suppressing TLR4/NF-kB/NLRP3 signalling
- FBXO31 inhibits the stemness characteristics of CD147 (+) melanoma stem cells
- Immune molecule diagnostics in colorectal cancer: CCL2 and CXCL11
- Inhibiting CXCR6 promotes senescence of activated hepatic stellate cells with limited proinflammatory SASP to attenuate hepatic fibrosis
- Cadmium toxicity, health risk and its remediation using low-cost biochar adsorbents
- Pulmonary cryptococcosis with headache as the first presentation: A case report
- Solitary pulmonary metastasis with cystic airspaces in colon cancer: A rare case report
- RUNX1 promotes denervation-induced muscle atrophy by activating the JUNB/NF-κB pathway and driving M1 macrophage polarization
- Morphometric analysis and immunobiological investigation of Indigofera oblongifolia on the infected lung with Plasmodium chabaudi
- The NuA4/TIP60 histone-modifying complex and Hr78 modulate the Lobe2 mutant eye phenotype
- Experimental study on salmon demineralized bone matrix loaded with recombinant human bone morphogenetic protein-2: In vitro and in vivo study
- A case of IgA nephropathy treated with a combination of telitacicept and half-dose glucocorticoids
- Analgesic and toxicological evaluation of cannabidiol-rich Moroccan Cannabis sativa L. (Khardala variety) extract: Evidence from an in vivo and in silico study
- Wound healing and signaling pathways
- Combination of immunotherapy and whole-brain radiotherapy on prognosis of patients with multiple brain metastases: A retrospective cohort study
- To explore the relationship between endometrial hyperemia and polycystic ovary syndrome
- Research progress on the impact of curcumin on immune responses in breast cancer
- Biogenic Cu/Ni nanotherapeutics from Descurainia sophia (L.) Webb ex Prantl seeds for the treatment of lung cancer
- Dapagliflozin attenuates atrial fibrosis via the HMGB1/RAGE pathway in atrial fibrillation rats
- Glycitein alleviates inflammation and apoptosis in keratinocytes via ROS-associated PI3K–Akt signalling pathway
- ADH5 inhibits proliferation but promotes EMT in non-small cell lung cancer cell through activating Smad2/Smad3
- Apoptotic efficacies of AgNPs formulated by Syzygium aromaticum leaf extract on 32D-FLT3-ITD human leukemia cell line with PI3K/AKT/mTOR signaling pathway
- Novel cuproptosis-related genes C1QBP and PFKP identified as prognostic and therapeutic targets in lung adenocarcinoma
- Bee venom promotes exosome secretion and alters miRNA cargo in T cells
- Treatment of pure red cell aplasia in a chronic kidney disease patient with roxadustat: A case report
- Comparative bioinformatics analysis of the Wnt pathway in breast cancer: Selection of novel biomarker panels associated with ER status
- Kynurenine facilitates renal cell carcinoma progression by suppressing M2 macrophage pyroptosis through inhibition of CASP1 cleavage
- RFX5 promotes the growth, motility, and inhibits apoptosis of gastric adenocarcinoma cells through the SIRT1/AMPK axis
- ALKBH5 exacerbates early cardiac damage after radiotherapy for breast cancer via m6A demethylation of TLR4
- Phytochemicals of Roman chamomile: Antioxidant, anti-aging, and whitening activities of distillation residues
- Circadian gene Cry1 inhibits the tumorigenicity of hepatocellular carcinoma by the BAX/BCL2-mediated apoptosis pathway
- The TNFR-RIPK1/RIPK3 signalling pathway mediates the effect of lanthanum on necroptosis of nerve cells
- Longitudinal monitoring of autoantibody dynamics in patients with early-stage non-small-cell lung cancer undergoing surgery
- The potential role of rutin, a flavonoid, in the management of cancer through modulation of cell signaling pathways
- Construction of pectinase gene engineering microbe and its application in tobacco sheets
- Construction of a microbial abundance prognostic scoring model based on intratumoral microbial data for predicting the prognosis of lung squamous cell carcinoma
- Sepsis complicated by haemophagocytic lymphohistiocytosis triggered by methicillin-resistant Staphylococcus aureus and human herpesvirus 8 in an immunocompromised elderly patient: A case report
- Sarcopenia in liver transplantation: A comprehensive bibliometric study of current research trends and future directions
- Advances in cancer immunotherapy and future directions in personalized medicine
- Can coronavirus disease 2019 affect male fertility or cause spontaneous abortion? A two-sample Mendelian randomization analysis
- Heat stroke associated with novel leukaemia inhibitory factor receptor gene variant in a Chinese infant
- PSME2 exacerbates ulcerative colitis by disrupting intestinal barrier function and promoting autophagy-dependent inflammation
- Hyperosmolar hyperglycemic state with severe hypernatremia coexisting with central diabetes insipidus: A case report and literature review
- Efficacy and mechanism of escin in improving the tissue microenvironment of blood vessel walls via anti-inflammatory and anticoagulant effects: Implications for clinical practice
- Merkel cell carcinoma: Clinicopathological analysis of three patients and literature review
- Genetic variants in VWF exon 26 and their implications for type 1 Von Willebrand disease in a Saudi Arabian population
- Lipoxin A4 improves myocardial ischemia/reperfusion injury through the Notch1-Nrf2 signaling pathway
- High levels of EPHB2 expression predict a poor prognosis and promote tumor progression in endometrial cancer
- Knockdown of SHP-2 delays renal tubular epithelial cell injury in diabetic nephropathy by inhibiting NLRP3 inflammasome-mediated pyroptosis
- Exploring the toxicity mechanisms and detoxification methods of Rhizoma Paridis
- Concomitant gastric carcinoma and primary hepatic angiosarcoma in a patient: A case report
- Ecology and Environmental Science
- Optimization and comparative study of Bacillus consortia for cellulolytic potential and cellulase enzyme activity
- The complete mitochondrial genome analysis of Haemaphysalis hystricis Supino, 1897 (Ixodida: Ixodidae) and its phylogenetic implications
- Epidemiological characteristics and risk factors analysis of multidrug-resistant tuberculosis among tuberculosis population in Huzhou City, Eastern China
- Indices of human impacts on landscapes: How do they reflect the proportions of natural habitats?
- Genetic analysis of the Siberian flying squirrel population in the northern Changbai Mountains, Northeast China: Insights into population status and conservation
- Diversity and environmental drivers of Suillus communities in Pinus sylvestris var. mongolica forests of Inner Mongolia
- Global assessment of the fate of nitrogen deposition in forest ecosystems: Insights from 15N tracer studies
- Fungal and bacterial pathogenic co-infections mainly lead to the assembly of microbial community in tobacco stems
- Influencing of coal industry related airborne particulate matter on ocular surface tear film injury and inflammatory factor expression in Sprague-Dawley rats
- Temperature-dependent development, predation, and life table of Sphaerophoria macrogaster (Thomson) (Diptera: Syrphidae) feeding on Myzus persicae (Sulzer) (Homoptera: Aphididae)
- Eleonora’s falcon trophic interactions with insects within its breeding range: A systematic review
- Agriculture
- Integrated analysis of transcriptome, sRNAome, and degradome involved in the drought-response of maize Zhengdan958
- Variation in flower frost tolerance among seven apple cultivars and transcriptome response patterns in two contrastingly frost-tolerant selected cultivars
- Heritability of durable resistance to stripe rust in bread wheat (Triticum aestivum L.)
- Molecular mechanism of follicular development in laying hens based on the regulation of water metabolism
- Animal Science
- Effect of sex ratio on the life history traits of an important invasive species, Spodoptera frugiperda
- Plant Sciences
- Hairpin in a haystack: In silico identification and characterization of plant-conserved microRNA in Rafflesiaceae
- Widely targeted metabolomics of different tissues in Rubus corchorifolius
- The complete chloroplast genome of Gerbera piloselloides (L.) Cass., 1820 (Carduoideae, Asteraceae) and its phylogenetic analysis
- Field trial to correlate mineral solubilization activity of Pseudomonas aeruginosa and biochemical content of groundnut plants
- Correlation analysis between semen routine parameters and sperm DNA fragmentation index in patients with semen non-liquefaction: A retrospective study
- Plasticity of the anatomical traits of Rhododendron L. (Ericaceae) leaves and its implications in adaptation to the plateau environment
- Effects of Piriformospora indica and arbuscular mycorrhizal fungus on growth and physiology of Moringa oleifera under low-temperature stress
- Effects of different sources of potassium fertiliser on yield, fruit quality and nutrient absorption in “Harward” kiwifruit (Actinidia deliciosa)
- Comparative efficiency and residue levels of spraying programs against powdery mildew in grape varieties
- The DREB7 transcription factor enhances salt tolerance in soybean plants under salt stress
- Using plant electrical signals of water hyacinth (Eichhornia crassipes) for water pollution monitoring
- Food Science
- Phytochemical analysis of Stachys iva: Discovering the optimal extract conditions and its bioactive compounds
- Review on role of honey in disease prevention and treatment through modulation of biological activities
- Computational analysis of polymorphic residues in maltose and maltotriose transporters of a wild Saccharomyces cerevisiae strain
- Optimization of phenolic compound extraction from Tunisian squash by-products: A sustainable approach for antioxidant and antibacterial applications
- Liupao tea aqueous extract alleviates dextran sulfate sodium-induced ulcerative colitis in rats by modulating the gut microbiota
- Toxicological qualities and detoxification trends of fruit by-products for valorization: A review
- Polyphenolic spectrum of cornelian cherry fruits and their health-promoting effect
- Optimizing the encapsulation of the refined extract of squash peels for functional food applications: A sustainable approach to reduce food waste
- Advancements in curcuminoid formulations: An update on bioavailability enhancement strategies curcuminoid bioavailability and formulations
- Impact of saline sprouting on antioxidant properties and bioactive compounds in chia seeds
- The dilemma of food genetics and improvement
- Bioengineering and Biotechnology
- Impact of hyaluronic acid-modified hafnium metalorganic frameworks containing rhynchophylline on Alzheimer’s disease
- Emerging patterns in nanoparticle-based therapeutic approaches for rheumatoid arthritis: A comprehensive bibliometric and visual analysis spanning two decades
- Application of CRISPR/Cas gene editing for infectious disease control in poultry
- Preparation of hafnium nitride-coated titanium implants by magnetron sputtering technology and evaluation of their antibacterial properties and biocompatibility
- Preparation and characterization of lemongrass oil nanoemulsion: Antimicrobial, antibiofilm, antioxidant, and anticancer activities
- Corrigendum
- Corrigendum to “Utilization of convolutional neural networks to analyze microscopic images for high-throughput screening of mesenchymal stem cells”
- Corrigendum to “Effects of Ire1 gene on virulence and pathogenicity of Candida albicans”
- Retraction
- Retraction of “Down-regulation of miR-539 indicates poor prognosis in patients with pancreatic cancer”