Osteomyelitis causes: Difference between revisions

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__NOTOC__
__NOTOC__
{{Osteomyelitis}}
{{Osteomyelitis}}
{{CMG}}
{{CMG}}; {{AE}} {{MehdiP}}
 
==Overview==
The etiology of osteomyelitis include a wide range of microbes, organized based on prevalence in patients of different age groups.
 
==Causes==
==Causes==
Etiolgic agents of osteomyelitis can be classified in several ways.
Etiolgic agents of osteomyelitis can be classified in several ways.


 
===Etiologies based on age group===
 
 
===Etiologies based on age===


{| class="wikitable"
{| class="wikitable"
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| Adult
| Adult
| ''[[Staphylococcus aureus|S. aureus]]'' and occasionally ''[[Enterobacter]]'' or ''[[Streptococcus]]'' species
| ''[[Staphylococcus aureus|S. aureus]]'' and occasionally ''[[Enterobacter]]'' or ''[[Streptococcus]]'' species
|-
| Sickle cell anemia patients
|''[[Staphylococcus aureus|S. aureus]]'' remains the most common, but  ''[[Salmonella]]'' species are common and fairly unique to sickle cell patients.<ref name="Burnett">{{cite journal|last=Burnett|first=M.W.|coauthors=J.W. Bass; B.A. Cook|title=Etiology of osteomyelitis complicating sickle cell disease.|journal=[[The American Academy of Pediatrics|Pediatrics]]|date=1998-02-01|volume=101|issue=2|pages=296–297|pmid=9445507}}</ref>
|}
|}
=== Microbiology based on prevalence ===
<br><br><br><br>
{{Family tree/start}}
{{Family tree | | | | | | | | | A01 | | | | | | | | |A01= Microbiology of osteomyelitis}}
{{Family tree | | | | | | | | | |!| | | | | | |}}
{{Family tree | | | | |,|-|-|-|-|+|-|-|-|-|.| |}}
{{Family tree | | | | C01 | | | C02 | | | C03 | |C01= Common causes<br> ≥ 50% cases| C02= Occasional causes<br> 25%-49% cases| C03=Rare causes<br> <5% cases }}
{{Family tree | | | | |!| | | | |!| | | | |!| | |}}
{{Family tree |boxstyle=text-align: left; | | | D01 | | | | D02 | | | D03 | |D01= •[[Staphylococcus aureus]]<br>•[[Coagulase-negative staphylococci]]|D02=•[[ Streptococci]]<br>•[[Enterococci]]<br>•[[Pseudomonas]] spp<br>•[[Enterobacter]] spp<br>•[[Proteus]] spp<br>•[[Escherichia coli]]<br>•[[Serratia]] spp<br>•[[Anaerobes]] (Finegoldia spp, Clostridium spp, Bacteroides fragilis group)<br>•[[Mycobacterium tuberculosis]]|D03=•[[Mycobacterium avium-intracellulare]] complex<br>•Rapidly growing mycobacteria<br>•Dimorphic fungi ([[blastomycosis]], •[[coccidioidomycosis]], •[[sporotrichosis]])<br>•[[Candida]] spp<br>•[[Cryptococcus]]<br>•[[Aspergillus]] spp<br>•[[Mycoplasma]] spp<br>•[[Tropheryma whipplei]]<br>•[[Brucella]] spp<br>•[[Salmonella]] spp<br>•[[Actinomyces]]}}
{{Family tree/end}}


===Common Causes===
===Common Causes===
Line 58: Line 72:


{|style="width:80%; height:100px" border="1"
{|style="width:80%; height:100px" border="1"
|style="height:100px"; style="width:25%" border="1" bgcolor="LightSteelBlue" | '''Cardiovascular'''
| style="width:25%" bgcolor="lightsteelblue" ; border="1" | '''Cardiovascular'''
|style="height:100px"; style="width:75%" border="1" bgcolor="Beige" | [[Arterial insufficiency ulcer]], [[Polyarteritis nodosa]], [[Thrombophlebitis]], [[Rheumatic fever]]
| style="width:75%" bgcolor="beige" ; border="1" | [[Arterial insufficiency ulcer]], [[Polyarteritis nodosa]], [[Thrombophlebitis]], [[Rheumatic fever]]
|-
|-
|-bgcolor="LightSteelBlue"
|- bgcolor="lightsteelblue"
| '''Chemical / poisoning'''
| '''Chemical / poisoning'''
|bgcolor="Beige"| No underlying causes
| bgcolor="beige" | No underlying causes
|-
|-
|-bgcolor="LightSteelBlue"
|- bgcolor="lightsteelblue"
| '''Dermatologic'''
| '''Dermatologic'''
|bgcolor="Beige"| [[Cellulitis]], [[Marjolin's ulcer]], Fanconi like syndrome
| bgcolor="beige" | [[Cellulitis]], [[Marjolin's ulcer]], Fanconi like syndrome
|-
|-
|-bgcolor="LightSteelBlue"
|- bgcolor="lightsteelblue"
| '''Drug Side Effect'''
| '''Drug Side Effect'''
|bgcolor="Beige"| [[Daptomycin]], [[Flucloxacillin]], [[Pergolide]], [[Pramipexole]]
| bgcolor="beige" | [[Daptomycin]], [[Flucloxacillin]], [[Pergolide]], [[Pramipexole]]
|-
|-
|-bgcolor="LightSteelBlue"
|- bgcolor="lightsteelblue"
| '''Ear Nose Throat'''
| '''Ear Nose Throat'''
|bgcolor="Beige"| [[Otitis]]
| bgcolor="beige" | [[Otitis]]
|-  
|-  
|-bgcolor="LightSteelBlue"
|- bgcolor="lightsteelblue"
| '''Endocrine'''
| '''Endocrine'''
|bgcolor="Beige"|  [[Diabetic myonecrosis]]
| bgcolor="beige" |  [[Diabetic myonecrosis]]
|-  
|-  
|-bgcolor="LightSteelBlue"
|- bgcolor="lightsteelblue"
| '''Environmental'''
| '''Environmental'''
|bgcolor="Beige"| No underlying causes
| bgcolor="beige" | No underlying causes
|-
|-
|-bgcolor="LightSteelBlue"
|- bgcolor="lightsteelblue"
| '''Gastroenterologic'''
| '''Gastroenterologic'''
|bgcolor="Beige"|  [[Gaucher disease]],
| bgcolor="beige" |  [[Gaucher disease]]
|-
|-
|-bgcolor="LightSteelBlue"
|- bgcolor="lightsteelblue"
| '''Genetic'''
| '''Genetic'''
|bgcolor="Beige"|  [[Congenital insensitivity to pain with anhidrosis]], [[Gaucher disease]], [[Infantile cortical hyperostosis]], [[Pycnodysostosis]], Thick skull syndrome
| bgcolor="beige" |  [[Congenital insensitivity to pain with anhidrosis]], [[Gaucher disease]], [[Infantile cortical hyperostosis]], [[Pycnodysostosis]], Thick skull syndrome
|-
|-
|-bgcolor="LightSteelBlue"
|- bgcolor="lightsteelblue"
| '''Hematologic'''
| '''Hematologic'''
|bgcolor="Beige"| [[Acute lymphoblastic leukemia]], [[Acute myelocytic leukemia]], [[Deep vein thrombosis]], [[Multiple myeloma]]
| bgcolor="beige" | [[Acute lymphoblastic leukemia]], [[Acute myelocytic leukemia]], [[Deep vein thrombosis]], [[Multiple myeloma]], [[Sickle cell disease]]
[[Sickle cell disease]],
|-
|-
|-bgcolor="LightSteelBlue"
|- bgcolor="lightsteelblue"
| '''Iatrogenic'''
| '''Iatrogenic'''
|bgcolor="Beige"| No underlying causes
| bgcolor="beige" | No underlying causes
|-
|-
|-bgcolor="LightSteelBlue"
|- bgcolor="lightsteelblue"
| '''Infectious Disease'''
| '''Infectious Disease'''
|bgcolor="Beige"|   
| bgcolor="beige" |   
<u>'''Bacteria'''</u>: [[Arcanobacterium]], [[Bacteremia]], [[Bacteroides]], [[Brucellosis]], [[Campylobacterium sputorum]], [[Cat scratch disease]],[[Congenital syphilis]], [[Enterobacter]], [[Escherichia coli]], [[Group A streptococcal infection]], [[HACEK organism]],[[Haemophilus influenzae]], [[Klebsiella]], [[Melioidosis]], [[Mycobacterium boenickei]], [[Mycobacterium brisbanense]],[[Mycobacterium fortuitum]], [[Mycobacterium goodii]], [[Mycobacterium haemophilum]], [[Mycobacterium houstonense]],[[Mycobacterium lentiflavum]], [[Mycobacterium neworleansense]], [[Mycobacterium ulcerans]], [[Mycobacterium wolinskyi]],[[Neisseria gonorrhoeae]], [[Pasteurella multocida]], [[Pseudomonas]], [[Salmonellosis]], [[Sepsis]], [[Serratia]],[[Staphylococcus aureus]], [[Staphylococcus epidermidis]], [[Staphylococcus lugdunensis]], [[Streptococcus pneumoniae]],[[Streptococcus pyogenes]], [[Trench fever]], [[Treponema pallidum]], [[Yaws]],[[Mycobacterium tuberculosis]], [[Actinomycosis]],[[Gas gangrene]]
<u>'''Bacteria'''</u>: [[Arcanobacterium]], [[Bacteremia]], [[Bacteroides]], [[Brucellosis]], [[Campylobacterium sputorum]], [[Cat scratch disease]],[[Congenital syphilis]], [[Enterobacter]], [[Escherichia coli]], [[Group A streptococcal infection]], [[HACEK organism]],[[Haemophilus influenzae]], [[Klebsiella]], [[Melioidosis]], [[Mycobacterium boenickei]], [[Mycobacterium brisbanense]],[[Mycobacterium fortuitum]], [[Mycobacterium goodii]], [[Mycobacterium haemophilum]], [[Mycobacterium houstonense]],[[Mycobacterium lentiflavum]], [[Mycobacterium neworleansense]], [[Mycobacterium ulcerans]], [[Mycobacterium wolinskyi]],[[Neisseria gonorrhoeae]], [[Pasteurella multocida]], [[Pseudomonas]], [[Salmonellosis]], [[Sepsis]], [[Serratia]],[[Staphylococcus aureus]], [[Staphylococcus epidermidis]], [[Staphylococcus lugdunensis]], [[Streptococcus pneumoniae]],[[Streptococcus pyogenes]], [[Trench fever]], [[Treponema pallidum]], [[Yaws]],[[Mycobacterium tuberculosis]], [[Actinomycosis]],[[Gas gangrene]]


<u>'''Fungi'''</u>:  [[Apophysomyces]], [[Candida albicans]], [[Coccidioidomycosis]], [[Sporotrichosis]]
<u>'''Fungi'''</u>:  [[Apophysomyces]], [[Candida albicans]], [[Coccidioidomycosis]], [[Sporotrichosis]]
|-
|-
|-bgcolor="LightSteelBlue"
|- bgcolor="lightsteelblue"
| '''Musculoskeletal / Ortho'''
| '''Musculoskeletal / Ortho'''
|bgcolor="Beige"| [[Albers-Schonberg disease]], [[Avascular necrosis]], [[Brodie abscess]], [[Ewing sarcoma]], [[Fracture]]
| bgcolor="beige" | [[Albers-Schonberg disease]], [[Avascular necrosis]], [[Brodie abscess]], [[Ewing sarcoma]], [[Fracture]]
[[Garre's sclerosing osteomyelitis]], [[Osteosarcoma]], [[Plantar fasciitis]], [[SAPHO syndrome]], [[Septic arthritis]], [[Infantile cortical hyperostosis]], Thick skull syndrome, [[Diabetic myonecrosis]], [[Multiple myeloma]]
[[Garre's sclerosing osteomyelitis]], [[Osteosarcoma]], [[Plantar fasciitis]], [[SAPHO syndrome]], [[Septic arthritis]], [[Infantile cortical hyperostosis]], Thick skull syndrome, [[Diabetic myonecrosis]], [[Multiple myeloma]]
|-bgcolor="LightSteelBlue"
|- bgcolor="lightsteelblue"
| '''Neurologic'''
| '''Neurologic'''
|bgcolor="Beige"|[[Neuroblastoma]], [[Neuropathic joint disease]]
| bgcolor="beige" |[[Neuroblastoma]], [[Neuropathic joint disease]]
|-
|-
|-bgcolor="LightSteelBlue"
|- bgcolor="lightsteelblue"
| '''Nutritional / Metabolic'''
| '''Nutritional / Metabolic'''
|bgcolor="Beige"|  [[Gout]], [[Pseudogout]], [[Scurvy]], [[Gaucher disease]]
| bgcolor="beige" |  [[Gout]], [[Pseudogout]], [[Scurvy]], [[Gaucher disease]]
   
   
|-
|-
|-bgcolor="LightSteelBlue"
|- bgcolor="lightsteelblue"
| '''Obstetric/Gynecologic'''
| '''Obstetric/Gynecologic'''
|bgcolor="Beige"| No underlying causes
| bgcolor="beige" | No underlying causes
|-
|-
|-bgcolor="LightSteelBlue"
|- bgcolor="lightsteelblue"
| '''Oncologic'''
| '''Oncologic'''
|bgcolor="Beige"|[[Cementoblastoma]], [[Primary neuroectodermal tumors]], [[Marjolin's ulcer]], [[Acute lymphoblastic leukemia]], [[Acute myelocytic leukemia]], [[Multiple myeloma]], [[Ewing sarcoma]], [[Osteosarcoma]], [[Neuroblastoma]], Fanconi like syndrome
| bgcolor="beige" |[[Cementoblastoma]], [[Primary neuroectodermal tumors]], [[Marjolin's ulcer]], [[Acute lymphoblastic leukemia]], [[Acute myelocytic leukemia]], [[Multiple myeloma]], [[Ewing sarcoma]], [[Osteosarcoma]], [[Neuroblastoma]], Fanconi like syndrome
|-
|-
|-bgcolor="LightSteelBlue"
|- bgcolor="lightsteelblue"
| '''Opthalmologic'''
| '''Opthalmologic'''
|bgcolor="Beige"| No underlying causes
| bgcolor="beige" | No underlying causes
|-
|-
|-bgcolor="LightSteelBlue"
|- bgcolor="lightsteelblue"
| '''Overdose / Toxicity'''
| '''Overdose / Toxicity'''
|bgcolor="Beige"| [[Radium]]
| bgcolor="beige" | [[Radium]]


|-
|-
|-bgcolor="LightSteelBlue"
|- bgcolor="lightsteelblue"
| '''Psychiatric'''
| '''Psychiatric'''
|bgcolor="Beige"| No underlying causes
| bgcolor="beige" | No underlying causes
|-
|-
|-bgcolor="LightSteelBlue"
|- bgcolor="lightsteelblue"
| '''Pulmonary'''
| '''Pulmonary'''
|bgcolor="Beige"| No underlying causes
| bgcolor="beige" | No underlying causes
|-
|-
|-bgcolor="LightSteelBlue"
|- bgcolor="lightsteelblue"
| '''Renal / Electrolyte'''
| '''Renal / Electrolyte'''
|bgcolor="Beige"| No underlying causes
| bgcolor="beige" | No underlying causes
|-
|-
|-bgcolor="LightSteelBlue"
|- bgcolor="lightsteelblue"
| '''Rheum / Immune / Allergy'''
| '''Rheum / Immune / Allergy'''
|bgcolor="Beige"| Fanconi like syndrome, [[Juvenile rheumatoid arthritis]], [[Rheumatic fever]], [[Serum sickness]], [[Synovial osteochondromatosis]], [[Transient synovitis]]  
| bgcolor="beige" | Fanconi like syndrome, [[Juvenile rheumatoid arthritis]], [[Rheumatic fever]], [[Serum sickness]], [[Synovial osteochondromatosis]], [[Transient synovitis]]  
|-
|-
|-bgcolor="LightSteelBlue"
|- bgcolor="lightsteelblue"
| '''Sexual'''
| '''Sexual'''
|bgcolor="Beige"| No underlying causes
| bgcolor="beige" | No underlying causes
|-
|-
|-bgcolor="LightSteelBlue"
|- bgcolor="lightsteelblue"
| '''Trauma'''
| '''Trauma'''
|bgcolor="Beige"| [[Cephalhematoma]], [[Nursemaid's elbow]], [[Physical abuse]]
| bgcolor="beige" | [[Cephalhematoma]], [[Nursemaid's elbow]], [[Physical abuse]]
|-
|-
|-bgcolor="LightSteelBlue"
|- bgcolor="lightsteelblue"
| '''Urologic'''
| '''Urologic'''
|bgcolor="Beige"| No underlying causes
| bgcolor="beige" | No underlying causes
|-
|-
|-bgcolor="LightSteelBlue"
|- bgcolor="lightsteelblue"
| '''Dental'''
| '''Dental'''
|bgcolor="Beige"|  No underlying causes
| bgcolor="beige" |  No underlying causes
|-
|-
|-bgcolor="LightSteelBlue"
|- bgcolor="lightsteelblue"
| '''Miscellaneous'''
| '''Miscellaneous'''
|bgcolor="Beige"| [[Amyloidosis]], [[Animal bite]], [[Bedsore]], [[Eagle syndrome]], [[Ingrown nail]]
| bgcolor="beige" | [[Amyloidosis]], [[Animal bite]], [[Bedsore]], [[Eagle syndrome]], [[Ingrown nail]]
|-
|-
|}
|}


===Causes in Alphabetical Order===
===Causes in Alphabetical Order===
{{MultiCol}}
{{Columns-list|3|
*[[Acremonium]]
*[[Acremonium]]
*[[Actinomycosis]]
*[[Actinomycosis]]
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*[[Klebsiella]]
*[[Klebsiella]]
*[[Marjolin's ulcer]]
*[[Marjolin's ulcer]]
{{ColBreak}}
*[[Melioidosis]]
*[[Melioidosis]]
*[[Multiple myeloma]]
*[[Multiple myeloma]]
Line 279: Line 291:
*[[Treponema pallidum]]
*[[Treponema pallidum]]
*[[Yaws]]
*[[Yaws]]
{{EndMultiCol}}
}}


==References==
==References==


{{Reflist|2}}
{{Reflist|2}}
{{WH}}
{{WS}}
[[Category:Needs overview]]
[[Category:Needs overview]]
[[Category:Orthopedics]]
[[Category:Orthopedics]]
[[Category:Bacterial diseases]]
[[Category:Bacterial diseases]]
[[Category:Skeletal disorders]]
[[Category:Skeletal disorders]]
[[Category:Disease]]
[[Category:Emergency mdicine]]
[[Category:Up-To-Date]]
[[Category:Infectious disease]]
[[Category:Infectious disease]]
[[Category:Disease]]
{{WH}}
{{WS}}

Latest revision as of 23:27, 29 July 2020

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Seyedmahdi Pahlavani, M.D. [2]

Overview

The etiology of osteomyelitis include a wide range of microbes, organized based on prevalence in patients of different age groups.

Causes

Etiolgic agents of osteomyelitis can be classified in several ways.

Etiologies based on age group

Age group Most common organisms
Newborns (younger than 4 mo) S. aureus, Enterobacter species, and group A and B Streptococcus species
Children (aged 4 mo to 4 y) S. aureus, group A Streptococcus species, Haemophilus influenzae, and Enterobacter species
Children, adolescents (aged 4 y to adult) S. aureus (80%), group A Streptococcus species, H. influenzae, and Enterobacter species
Adult S. aureus and occasionally Enterobacter or Streptococcus species


Microbiology based on prevalence






 
 
 
 
 
 
 
 
Microbiology of osteomyelitis
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Common causes
≥ 50% cases
 
 
Occasional causes
25%-49% cases
 
 
Rare causes
<5% cases
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
•Staphylococcus aureus
•Coagulase-negative staphylococci
 
 
 
•Streptococci
•Enterococci
•Pseudomonas spp
•Enterobacter spp
•Proteus spp
•Escherichia coli
•Serratia spp
•Anaerobes (Finegoldia spp, Clostridium spp, Bacteroides fragilis group)
•Mycobacterium tuberculosis
 
 
•Mycobacterium avium-intracellulare complex
•Rapidly growing mycobacteria
•Dimorphic fungi (blastomycosis, •coccidioidomycosis, •sporotrichosis)
•Candida spp
•Cryptococcus
•Aspergillus spp
•Mycoplasma spp
•Tropheryma whipplei
•Brucella spp
•Salmonella spp
•Actinomyces
 

Common Causes

Causes by Organ System

Cardiovascular Arterial insufficiency ulcer, Polyarteritis nodosa, Thrombophlebitis, Rheumatic fever
Chemical / poisoning No underlying causes
Dermatologic Cellulitis, Marjolin's ulcer, Fanconi like syndrome
Drug Side Effect Daptomycin, Flucloxacillin, Pergolide, Pramipexole
Ear Nose Throat Otitis
Endocrine Diabetic myonecrosis
Environmental No underlying causes
Gastroenterologic Gaucher disease
Genetic Congenital insensitivity to pain with anhidrosis, Gaucher disease, Infantile cortical hyperostosis, Pycnodysostosis, Thick skull syndrome
Hematologic Acute lymphoblastic leukemia, Acute myelocytic leukemia, Deep vein thrombosis, Multiple myeloma, Sickle cell disease
Iatrogenic No underlying causes
Infectious Disease

Bacteria: Arcanobacterium, Bacteremia, Bacteroides, Brucellosis, Campylobacterium sputorum, Cat scratch disease,Congenital syphilis, Enterobacter, Escherichia coli, Group A streptococcal infection, HACEK organism,Haemophilus influenzae, Klebsiella, Melioidosis, Mycobacterium boenickei, Mycobacterium brisbanense,Mycobacterium fortuitum, Mycobacterium goodii, Mycobacterium haemophilum, Mycobacterium houstonense,Mycobacterium lentiflavum, Mycobacterium neworleansense, Mycobacterium ulcerans, Mycobacterium wolinskyi,Neisseria gonorrhoeae, Pasteurella multocida, Pseudomonas, Salmonellosis, Sepsis, Serratia,Staphylococcus aureus, Staphylococcus epidermidis, Staphylococcus lugdunensis, Streptococcus pneumoniae,Streptococcus pyogenes, Trench fever, Treponema pallidum, Yaws,Mycobacterium tuberculosis, Actinomycosis,Gas gangrene

Fungi: Apophysomyces, Candida albicans, Coccidioidomycosis, Sporotrichosis

Musculoskeletal / Ortho Albers-Schonberg disease, Avascular necrosis, Brodie abscess, Ewing sarcoma, Fracture

Garre's sclerosing osteomyelitis, Osteosarcoma, Plantar fasciitis, SAPHO syndrome, Septic arthritis, Infantile cortical hyperostosis, Thick skull syndrome, Diabetic myonecrosis, Multiple myeloma

Neurologic Neuroblastoma, Neuropathic joint disease
Nutritional / Metabolic Gout, Pseudogout, Scurvy, Gaucher disease
Obstetric/Gynecologic No underlying causes
Oncologic Cementoblastoma, Primary neuroectodermal tumors, Marjolin's ulcer, Acute lymphoblastic leukemia, Acute myelocytic leukemia, Multiple myeloma, Ewing sarcoma, Osteosarcoma, Neuroblastoma, Fanconi like syndrome
Opthalmologic No underlying causes
Overdose / Toxicity Radium
Psychiatric No underlying causes
Pulmonary No underlying causes
Renal / Electrolyte No underlying causes
Rheum / Immune / Allergy Fanconi like syndrome, Juvenile rheumatoid arthritis, Rheumatic fever, Serum sickness, Synovial osteochondromatosis, Transient synovitis
Sexual No underlying causes
Trauma Cephalhematoma, Nursemaid's elbow, Physical abuse
Urologic No underlying causes
Dental No underlying causes
Miscellaneous Amyloidosis, Animal bite, Bedsore, Eagle syndrome, Ingrown nail

Causes in Alphabetical Order

The unnamed parameter 2= is no longer supported. Please see the documentation for {{columns-list}}.
3

References

Template:WH Template:WS

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