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  • Title: The role of surgery in primary osteomyelitis of the chest wall.
    Author: Jara FM, Yap A, Toledo-Pereyra LH, Magilligan DJ.
    Journal: J Thorac Cardiovasc Surg; 1979 Jan; 77(1):147-50. PubMed ID: 758564.
    Abstract:
    Seven patients with primary osteomyelitis of the chest wall are described. All patients presented with pain at the site of infection, and four patients had a tumor-like mass that could easily be confused with a neoplastic process. All were heroin addicted and pseudomonas was the most common organism cultured. Conservative management with antibiotics for a minimum of 4 weeks is recommended with operation assuming a secondary role, namely, to assist in the initial diagnosis or in the form of limited resection of residual sinuses. Primary wide resection is discouraged.
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