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June 11, 1927


Author Affiliations

Atlanta, Ga.

JAMA. 1927;88(24):1883. doi:10.1001/jama.1927.92680500024011a

The report of cases of osteitis and osteomyelitis of the coccyx seems to be exceedingly rare. Monnier1 describes a case of acute osteomyelitis of the coccyx in a girl, aged 17 years, which ran the course of an acute infectious process and which at first was diagnosed as typhoid, a mistake not infrequently made in acute osteomyelitis of other bones.

The case of chronic osteitis of the coccyx here recorded seems of unusual interest, as it was responsible for an entirely different condition; viz., stricture of the rectum. Indeed, when I first saw the patient, stricture of the rectum was the predominating lesion.

REPORT OF CASE  A man, aged 35, first noticed "soreness and sensitiveness" at the tip of the spine in December, 1923, and was more comfortable standing than sitting. He could not remember having received a blow on this part of his body, but recalled having slipped and fallen on