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Q J Med 1989; 71: 521-527
© 1989 Association of Physicians

research-article

Haematogenous Osteomyelitis in the Adult: A Clinical and Epidemiological Study

H. S. MARKUS

Department of Medicine, University Hospital Nottingham NG7 2UH

Accepted for publication 16 December 1988.

SUMMARY

Isolated reports suggest that haematogenous osteomyelitis in the adult may be presenting to the physician with increasing frequency. The disease continues to cause diagnostic difficulties. Results of a retrospective study of 26 cases over an eight-year period support previous suggestions that a second peak in incidence occurs in the elderly; they are consistent with an increasing incidence although the small numbers make from conclussions on incidence impossible. The time from onset of symptoms to presentation is often prolonged and diagonostic delay may occur. Those clinical and laboratory features most useful in diagnosis are discussed.


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