Jacobson I V, Sieling W L
Department of Internal Medicine, 1 Military Hospital, Voortrekkerhoogte, Tvl.
S Afr Med J. 1987 Oct 3;72(7):476-7.
Secondary osteomyelitis occurs as a direct infection of bone from a source outside the body or as progressive and continuous spread of infection from a contiguous focus. Twenty patients with secondary osteomyelitis were studied. Pathogens were identified by culture of biopsy material from infected bone. Staphylococcus aureus accounted for most cases in the upper limbs, while infection in the lower limbs was predominantly associated with Gram-negative bacilli. The essential value of bone biopsy in treatment is emphasised.
继发性骨髓炎可由身体外部的感染源直接感染骨骼引起，也可由邻近病灶的感染进行性持续扩散所致。对20例继发性骨髓炎患者进行了研究。通过对感染骨骼活检材料进行培养来鉴定病原体。金黄色葡萄球菌是上肢大多数病例的病原体，而下肢感染主要与革兰氏阴性杆菌有关。强调了骨活检在治疗中的重要价值。
