Osteomyelitis Variolosa

That clinical bone complications during or as a sequel to smallpox is a comparatively rare condition is indicated by a reasonably fair search of the literature, as well as personal inquiries from isolation hospitals. At El Paso, where 390 cases have been treated in the last eight years, there is no history or record of osteomyelitis as a complication or sequel. Councilman1states that he has never seen a case of osteomyelitis as a complication of smallpox. Ingelrans and Taconnet,2in 500 cases of smallpox, noted osseous lesions consecutive to the infection three times. The evidence seems conclusive that there are two distinct forms of osteomyelitis occurring as complications of smallpox. The ordinary metastatic pyogenic osteomyelitis is the more frequent variety, as indicated by Neve,3Bidder,4Mauclaire,5Paré,6Debeyre,7Schwenk,8Kolaczek9and others. That it does not occur more frequently as