In this text we shall discuss the s

In this text we shall discuss the signs and symptoms of acute osteomyelitis, an infectious suppurative disease affecting bones.
Osteomyelitis is generally caused by Staphylococcus, which reaches the bones via the blood stream from a distant focus, often a throat infection. Its rise was especially sharp during World War II, particulary in 1942-46 when the lack of due antibiotics made the disease uncured.
The disease generally affects the upper end of tibia or lower end of femur. The infection is followed by intense reaction, with pus formation in the marrow spaces. From there the suppuration spreads along the marrow cavity and also through the cortex, to erupt on the surface and form a subperiosteal abscess. In some cases the marrow cavity is widely involved; in others, on the contrary, there is a large subperiosteal abscess, but little or no pus within the bone.

Almost always part of bone becomes necrotic, due to the toxic effect of pus under tension and to obliteration by the subperiosteal abscess of the periosteal vessels supplying the bone cortex. The main ntitrient artery itself may be thrombosed, leading to necrosis of the major part of the bone.

Acute osteomyelitis generally affects children, especially if in poor health, after an infectious fever. Sometimes there is a history of minor injury to the part a few days before the onset of acute symptoms.

In a typical case the onset is sudden. Then pain and inflammation of the bone are accompanied by marked toxaemia. The temperature rises, often to 103° or 104° F, the face is flushed and the tongue is furred. The leucocyte count rises to 20.000 or more. Delirium is frequent. The pain is severe. The limb is held immobile. The skin over the inflamed region is hot and red, and dilated veins may be evident. Slight superficial edema appears early. Localising signs develop early in the case of a superficial bone such as the tibia, later if the bone is deeply placed.

Acute osteomyelitis is a dangerous disease, especially when it affects a deep-seated bone, such as the upper end of the femur, pelvis or vertebrae. In those who survive the acute phase the disease often persists as chronic

Результаты (русский) 1:

В этом тексте мы будем обсуждать признаки и симптомы острого Остео миелит, инфекционные гнойные заболевание, поражающее кости. Остеомиелит, как правило, вызваны стафилококков, который достигает кости через поток крови из далекой фокус, часто инфекции горла. Ее рост был особенно резким во время второй мировой войны, особенно в 1942-46 когда отсутствие должной антибиотики сделал неотвержденных болезни. Болезнь обычно поражает верхний конец голени или нижнего конца бедренной кости. Инфекция сопровождается интенсивной реакции с образованием гноя в пространствах костного мозга. От там нагноение распространяется вдоль полости костного мозга, а также через кору, прорываются на поверхность и образуют Поднадкостничный абсцесса. В некоторых случаях широко участвует в полости костного мозга; в других наоборот, существует большой Поднадкостничный ab scess, но мало или вообще не гной в кости. Почти всегда часть кости становится некротических, благодаря токсическое действие гной под напряжение и облитерация, Поднадкостничный абсцесса периостальная сосудов, снабжающих кости коры. Главная ntitrient артерии, сама может быть тромбированного, ведущих к некрозу основную часть кости. Острый остеомиелит обычно затрагивает детей, особенно в случае слабого здоровья, после инфекционных лихорадки. Иногда есть история незначительные травмы в часть за несколько дней до появления симптомов острого. In a typical case the onset is sudden. Then pain and inflammation of the bone are accompanied by marked toxaemia. The temperature rises, often to 103° or 104° F, the face is flushed and the tongue is furred. The leucocyte count rises to 20.000 or more. Delirium is frequent. The pain is severe. The limb is held immobile. The skin over the inflamed region is hot and red, and dilated veins may be evident. Slight superficial edema appears early. Localising signs develop early in the case of a superficial bone such as the tibia, later if the bone is deeply placed. Acute osteomyelitis is a dangerous disease, especially when it affects a deep-seated bone, such as the upper end of the femur, pelvis or vertebrae. In those who survive the acute phase the disease often persists as chronic