The Hahnemannian monthly . utsuitable clothing. Now and then an osteomyelitis follows quickly after the ap-pearance of a boil upon some part of the body. Indeed, thesemblance is so striking between a boil and an osteomyelitisthat the latter has been called bone furuncle. Bacteriologicalexamination shows identically the same microbic infection, andthe gross pathological process is the same, modified only by en-vironment. Osteomyelitis occasionally follows an attack of some acutefebrile infectious disease, as typhoid fever, scarlet fever, variola,chicken-pox, measles, pneumonia and diphtheria. T
The Hahnemannian monthly . utsuitable clothing. Now and then an osteomyelitis follows quickly after the ap-pearance of a boil upon some part of the body. Indeed, thesemblance is so striking between a boil and an osteomyelitisthat the latter has been called bone furuncle. Bacteriologicalexamination shows identically the same microbic infection, andthe gross pathological process is the same, modified only by en-vironment. Osteomyelitis occasionally follows an attack of some acutefebrile infectious disease, as typhoid fever, scarlet fever, variola,chicken-pox, measles, pneumonia and diphtheria. The typhoid 1899.] Osteomyelitis. 485 bacillus has been found in the pus of osteomyelitis, also the pneu-mococcus. The disease is very infrequent after diphtheria, onecase only having been reported. It has frequently been observedafter variola. In such cases of the latter as have been examinedthe ordinary pyogenic bacteria have been found, presumably inaddition to the specific variola organism which has not yet been Fig. Osteomyelitis.—Surgical History of the War of the the early changes incident to infection of medulla. isolated. During the past few years attacks of grippe have inrare instances been followed by osteomyelitis. From what hasalready been said, the inference must be drawn that in so-calledspontaneous cases of osteomyelitis the infective material reachesthe bone marrow by the way of the circulation. This is quitewithin the bounds of reason where it occurs as a sequel to con- 486 The Hahnemannian Monthly. [August, tagious diseases, for it is an established fact that the specificmicrobes of such infective diseases are distributed widelythrough the blood currents. Their lodgment in some favor-able point in the bone marrow would appear to be only a matterof course. How pyogenic bacteria reach the circulation incases not preceded by furunculosis or general contagion isoften difficult to divine. It may be by way of the respiratorytract or the intesti
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