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          3. The opposite parties 1 and 4, the hospital authorities in the version filed has admitted that the complainant was treated at the above hospital for fever and body pain by the 2nd opposite party doctor.  Paracetamol injection was administered to the complainant by 3rd opposite party a qualified staff nurse.  It is denied that the shoulder pain is due to the injection administered.  It is pointed out that the petitioner would not have waited for 12 days to come to the hospital if he had pain and swelling after the administration of the injection.  It is denied that the needle pierced  the bone.   It is contended that Osteomyeletis will not cause due to the administration of injection on the shoulder.  It is stated that the petitioner was aged 25 years and was susceptible to Osteomyeletis .  It is evident that there was some infection spot or infection in the body of the petitioner  during the period as there was fever and  severe body pain on 6.6.91 the date on which he came to the hospital.

          10. The authorities also indicate that hematogenous osteomyeletis cases are mainly in the childhood. Osteomyeletis can be chronic and end up even in amputation.  Nowhere in the treatment records it is mentioned that the source of infection was hematogenous bacteremia or fungal spores already existing. Osteomyeletis may result from an infection in an adjacent soft tissue and it  spreads to the bone after several days or weeks.

          11. PW1 the complainant was examined twice.  When he was examined on 20.4.94 he had asserted that it was the 3rd opposite party who administered the injection.  The doctor issued him a slip and the same was shown to the nurse.  Subsequently after injection pain developed and he was admitted at the 1st opposite party hospital and it was at the time that he enquired as to the name of the nurse. PW1 was examined subsequently on 10.6.08 and cross examined by opposite parties 1 and 4.  He has reiterated the case that  he contacted the illness after the administration of the injection.  It is suggested in the cross examination that it was  paracetamol injection  that was administered.  At the 1st opposite party hospital, AKG Memorial hospital, Kannur, Koily hospital, Kannur the illness was not diagnosed and it was at Kasturba Hospital, Manipal that the problem was diagnosed as Osteomyeletis.  He has stated that the doctor at Kasturba Hospital told him that it was on account of the injection needle touching the bone that has  resulted in infection of the layer over the bone.  He has stated that during a certain period subsequently he was employed in Dubai.