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Carmen Quereda, MD; Antonio Guerrero, MD, PhD; Enrique Navas, MD; Maria Jesús Pérez Elías, MD
Madrid, Spain

Arch Intern Med. 1991;151(11):2314.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

To the Editor. —

We read with interest the article by Sinnott and colleagues¹ on tuberculous osteomyelitis masked by concomitant staphylococcal infection that appeared in the September 1990 issue of the ARCHIVES. We would like to offer our experience in Spain, a country where tuberculosis is still a public health problem.

Of the 127 cases of hematogenous osteomyelitis studied in our center between 1978 and 1985,2²Mycobacterium tuberculosis was found in 52 patients (40.9%) and Staphylococcus aureus in 48 patients (37.7%). Polymicrobial pathogens were noted in seven cases (5.5%), with S aureus and M tuberculosis coinciding in three of them. The high rate of osseous tuberculosis in our series could be partially due to the fact that we are a referral unit for tuberculosis patients in our hospital; but in any case, these data outline the importance of M tuberculosis as a causative factor in osteomyelitis in Spain. . . . [Full Text PDF of this Article]

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