Osteomyelitis contiguous

The epidemiology of osteomyelitis has been changing over the past several decades.6 The incidence of acute hematogenous osteomyelitis, which is most often seen in children, has been declining.6,7 In contrast, the frequency of contiguous osteomyelitis has been increasing. This trend may be related to... 

Contiguous Focus Osteomyelitis with Vascular Insufficiency ... 

In contrast to hematogenous osteomyelitis, which occurs most commonly in children, contiguous-spread osteomyelitis occurs most commonly in patients older than age 50. Most likely this is so be-canse important predisposing factors, such as hip fractures, are more common in this age group. 

Bacterial superinfection of pox lesions was relatively uncommon except in the absence of proper hygiene and medical care. Arthritis and osteomyelitis developed late in the course of disease in about 1% to 2% of patients, more frequently occurred in children, and was often manifested as bilateral joint involvement, particularly of the elbows.70 Viral inclusion bodies could be demonstrated in the joint effusion and bone marrow of the involved extremity. This complication reflected infection and inflammation of a joint followed by spread to contiguous bone metaphyses, and sometimes resulted in permanent joint deformity.71 Cough and bronchitis were occasionally reported as prominent manifestations of smallpox, with attendant implications for spread of contagion however, pneumonia was unusual.72 Pulmonary edema occurred frequently in hemorrhagic- and flat-type smallpox. Orchitis was noted in approximately 0.1% of patients. Encepha-... 

Osteomyelitis of the foot typically occurs in diabetic patients as a result of a contiguous source of infection. In fact, these patients tend to develop ulcers at pressure points (the undersurface of the first and fifth metatarsal heads being the most commonly affected) that may become infected leading... 

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