Quotation from: Manual of Surgery

Written by: Alexander Miles and Alexis Thomson


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. They are
most commonly met with in the tibia and in the ribs at the
costo-chondral junctions.

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