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Article
November 15, 1952

OSTEOMYELITIS OF THE LUMBAR VERTEBRAE DUE TO ESCHERICHIA COLI: COMPLICATION OF ACUTE SUPPURATIVE PNEUMONIA

Author Affiliations

White Plains, N. Y.
From the Medical Service, Veterans Administration Hospital, Bronx.

JAMA. 1952;150(11):1073-1076. doi:10.1001/jama.1952.03680110013004
Abstract

Metastatic osteomyelitis of the spine is a rare disease. The few reports in the American literature on this disease implicate the urinary tract as the primary focus of infection,1 while Turner2 in England mentioned skin and throat infections as primary sources. The isolated organisms in Kusunoki's group of six cases of osteomyelitis secondary to urinary tract disease were Staphylococcus aureus in two cases, an unspecified type of Staphylococcus in one case, Proteus vulgaris in one case, and no isolated organisms in the other two cases. Adlerman and Duff isolated P. vulgaris in their case. Only in the case of Hurwitz and Albertson was Escherichia coli found as the causative organism. This present report is another case of osteomyelitis of the spine due to infection with Esch. coli. However, it is the first case to be reported, to my knowledge, in which the condition was secondary to acute suppurative

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