Quotation from: Manual of Surgery

Written by: Alexander Miles and Alexis Thomson


#Pyogenic Osteomyelitis due to Spread of Infection from the Soft
Parts.#--There still remain those forms of osteomyelitis which result
from infection through a wound involving the bone--for example, compound
fractures, gun-shot injuries, osteotomies, amputations, resections, or
operations for un-united fracture. In all of these the marrow is exposed
to infection by such organisms as are present in the wound. A similar
form of osteomyelitis may occur apart from a wound--for example,
infection may spread to the jaws from lesions of the mouth; to the
skull, from lesions of the scalp or of the cranial bones
themselves--such as a syphilitic gumma or a sarcoma which has fungated
externally; or to the petrous temporal, from suppuration in the middle
ear.

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