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Updated: July 28, 2025
These procedures may be carried out at the same time as the sequestrum is removed, or after an interval. In all of them, asepsis is essential for success. The deformities resulting from osteomyelitis are more marked the earlier in life the disease occurs.
#Diseases caused by the Staphylococcus Aureus.# As the majority of pyogenic diseases are due to infection with the staphylococcus aureus, these will be described first. #Acute osteomyelitis# is a suppurative process beginning in the marrow and tending to spread to the periosteum. The disease is common in children, but is rare after the skeleton has attained maturity.
In typhoid fever the bone marrow is liable to be invaded by the typhoid bacillus, which may set up osteomyelitis soon after its lodgment, or it may lie latent for a considerable period before doing so. The lesions may be single or multiple, they involve the marrow or the periosteum or both, and they may or may not be attended with suppuration.
Others, on the contrary for example, the tubercle bacillus and the organism of acute osteomyelitis although frequently remaining localised at the seat of inoculation, tend to pass to distant parts, lodging in the capillaries of joints, bones, kidney, or lungs, and there producing their deleterious effects.
#Relapsing Osteomyelitis.# As the term indicates, the various forms of relapsing osteomyelitis date back to an antecedent attack, and their occurrence depends on the capacity of staphylococci to lie latent in the marrow. Relapse may take place within a few months of the original attack, or not for many years.
#Osteomyelitis Fibrosa.# This comparatively rare disease, which was first described by Recklinghausen, presents many interesting features.
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