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2,3 The mode of entry of organisms could be by contiguous spread, hematogenous dissemination, or following trauma.
Monomicrobial infections are most commonly due to hematogenous spread and polymicrobial infections due to contiguous spread.
1) Lymphomas of the testis usually present as a unilateral testicular mass of variable size and can show contiguous spread to rete testis, epididymis, spermatic cord and rarely to tunica albuginea.
Contiguous spread of peritoneal cancer to the anterior surface of the abdominal cavity is probably the most common and hematogenous spread through the arterial and venous systems via communication between the umbilical veins, portal system and the caval vein system.
10) Prostate cancer has been shown to metastasize by following the venous drainage system through the lower paravertebral plexus, or Batson's plexus; brain metastases are the result of contiguous spread.
Haematogenous tuberculosis of skeletal muscle or contiguous spread is extremely rare.
The most common visual field disturbance is bitemporal hemianopsia, and contiguous spread of the tumor to the adjacent cavernous sinus most commonly produces cranial nerve III and IV dysfunction (1).
The virus may reach the lower respiratory tract through contiguous spread, aspiration from the oropharynx or haematogenous spread in the presence of viraemia.
Extrapulmonary tuberculous disease occurs as the result of contiguous spread of tubercle organisms to adjoining structures such as pleura or pericardium, or by lymphohaematogenous spread during primary or chronic infection.
Mechanisms of acquiring infection include 1) hematogenous spread, 2) contiguous spread from an adjacent focus of infection, and 3) direct seeding (penetrating trauma, postsurgery, etc.
Predictable contiguous spread from one chain of lymph node groups to another
This is probably how AHBs became established in Florida, unconnected to the more contiguous spread in the Southwest.
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