Although gonorrheal osteoperiostitis of the epiphyses, and especially of the small bones of the hands and feet, is not very uncommon, this is far from being true of osteoperiostitis of the diaphyses of the long bones; in fact, no mention is made of this condition in the usual text-books and systems of surgery, and its existence has even been disputed. In the following case, which I shall describe in some detail, the femoral diaphysis was very extensively involved.
—J. M., aged 24, was admitted to the Johns Hopkins Hospital, January 2, 1907, complaining of an abscess on the left thigh.
—The family history and previous personal history were unimportant. There was no history of gonorrhea before present attack. The present illness began two weeks ago with swelling in the left thigh, which became painful, hot and hard. There was no history of injury. On account of inability to