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  • Title: Subacute pyogenic osteomyelitis.
    Author: Gillespie WJ, Moore TE, Mayo KM.
    Journal: Orthopedics; 1986 Nov; 9(11):1565-70. PubMed ID: 3797352.
    Abstract:
    Records of 110 cases of subacute osteomyelitis were reviewed. Twenty percent of the cases with a subacute clinical course had diffuse radiological changes more characteristic of an acute disease. Classic metaphyseal (Brodie) abscesses were most common. Diaphyseal lesions, of which over half were in adults, had a significantly higher rate of recurrence. The distribution by site and age of metaphyseal lesions resembled that of acute osteomyelitis. Staphylococcus aureus was the most common isolate, but 10% of lesions grew S. epidermidis. A modification of current classification is suggested which offers a basis for management and studies of outcome.
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