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- Spread- Haematogenous from previous infection elsewhere in the body, or by direct infection e.g. during surgery.
- Pathology- Staphylococcus causes 90% of these cases. It is often implicated in Diabetic feet, where trauma is not noticed by the patient until the bone surface is exposed.
- Symptoms- Subacute, boring, localised bone pain, with erythema and tenderness and fever.
- Investigations- X-Ray changes(oedema) may not be present until 14 days after infection, MRI is more sensitive. Blood cultures, and bone biopsies and cultures will also grow staphylococci.