oa South African Medical Journal - Acute haematogenous osteomyelitis



A personal series of 33 cases of acute haematogenous osteomyelitis is reviewed. The usual concepts of age and sex incidence, social status, site, septic focus, infecting organism and trauma are confirmed. The pathology is reviewed, stressing the fact that the general and local conditions are separate clinical entities. The general condition may be septicaemia, gross toxaemia or the usual general response to acute inflammation. The local condition may be acute bone infection, intraosseous pus formation and soft-tissue abscess formation. The treatment depends on the pathology and is outlined for the original septic focus, the general condition and the local condition. Early surgical drainage is strongly recommended for all cases when pus is present. The results of the recommended treatment are considered.


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