Quotation from: Manual of Surgery

Written by: Alexander Miles and Alexis Thomson


In these multiple forms of osteomyelitis the toxaemic symptoms
predominate; the patient is dull and listless, or he may be restless and
talkative, or actually delirious. The tongue is dry and coated, the lips
and teeth are covered with sordes, the motions are loose and offensive,
and may be passed involuntarily. The temperature is remittent and
irregular, the pulse small and rapid, and the urine may contain blood
and albumen. Sometimes the skin shows erythematous and purpuric rashes,
and the patient may cry out as in meningitis. The post-mortem
appearances are those of pyaemia.

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