Brodie abscess
Brodie abscess is a bone infection - a hematogenous osteomyelitis which is subacute.
Incidence[edit | edit source]
It that accounts for 2.5%–42% of primary bone infections.
Patient characteristics[edit | edit source]
The patients are younger than 25 years of age. They usually present with joint pain and localized swelling.
Signs and symptoms[edit | edit source]
Signs and symptoms of systemic disease are frequently absent and usually only have joint pain and swelling.
Cause[edit | edit source]
- Staphylococcus aureus (30%–60%)
- Pseudomonas (5%)
- Klebsiella (5%) and
- Coagulase-negative Staphylococcus (5%) are causative organisms.
Culture negative[edit | edit source]
20% of cultures are negative for these organisms.
Radiology[edit | edit source]
- Radiographically, an intramedullary area of central lucency with sclerotic margins is characteristic.
Differential diagnosis[edit | edit source]
- Differential diagnosis of Brodie abscess includes many forms of benign and malignant bone lesions including but not limited to bone cysts, osteoid osteoma, giant cell tumor, chondroblastoma and Ewing sarcoma.
Diagnosis[edit | edit source]
X-rays, CT scan, MRI, blood cultures etc.
Treatment[edit | edit source]
- A course of systemic antibiotics, surgical débridement.
- Sometimes bone grafting maybe required a large cavity requires stabilization.
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Contributors: Prab R. Tumpati, MD