Brodie's abscess: Figure 1

Abbas, Ausami; Idriz, Sanjin; Thakker, Manish; Sheikh, Faraz T; Rubin, Caroline

doi:10.1136/emermed-2011-200322

Cited by 3 publications

(3 citation statements)

References 2 publications

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“…A study with a total of 1037 patients with osteomyelitis was performed, where all patients had pain and local swelling but none had fever, localized tenderness or warmth [ 16 ]. An acute increase in pain severity following a fall on the affected extremity has been reported [ 32 ]. In our case the patient presented to us initially with pain of insidious onset that had been present for several months.…”

Section: Discussionmentioning

confidence: 99%

Acute leg pain with suspected beginning leg compartment syndrome and deep vein thrombosis as differential diagnoses in an unusual presentation of Brodie’s abscess: a case report

et al. 2015

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BackgroundBrodie’s abscess is an uncommon form of subacute osteomyelitis where the main presenting symptom is mild to moderate pain of insidious onset for several months’ duration. We report a case of a patient presenting with acute leg pain resembling that of a deep vein thrombosis, and a beginning leg compartment syndrome following a suspected ruptured Baker’s cyst. Our case is unusual because of the acute presentation of the Brodie’s abscess with acute leg pain and acute swelling without any preceding trauma; to the best of our knowledge, this presentation has not been reported before.Case presentationA 17-year-old white boy presented to our out-patient clinic with a 6-month history of pain in his left knee joint of insidious onset. There was no history of trauma to the extremity. After performing physical and radiological (X-ray) examinations, we initially diagnosed medial meniscus damage. One week later he presented to our emergency department with acute sudden increase in the pain and swelling of his left knee, and pain and swelling of his left leg, without any trauma. Deep vein thrombosis and beginning leg compartment syndrome from ruptured Baker’s cyst were initially diagnosed. Magnetic resonance imaging was performed and Brodie’s abscess was the most probable diagnosis. We performed open surgical debridement and curettage with drainage of the abscess and administered postoperative antibiotics. He presented to our out-patient clinic 3 months postoperatively, where he was pain-free with no residual local tenderness.ConclusionsIn cases of sudden acute increase in joint or extremity pain or swelling that has been insidiously present for months, Brodie’s abscess should be considered as one of the differential diagnoses, as it may present acutely in cases with accompanying fasciitis and myositis and be clinically mistaken for deep vein thrombosis or limb compartment. Magnetic resonance imaging remains the gold standard imaging study, and surgical treatment followed by postoperative antibiotics remains the standard treatment.

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Section: Discussionmentioning

confidence: 99%

Acute leg pain with suspected beginning leg compartment syndrome and deep vein thrombosis as differential diagnoses in an unusual presentation of Brodie’s abscess: a case report

et al. 2015

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“…However, Brodie’s abscess can be detected in other anatomical areas as well, including small bones such as those of the tarsus. Its characteristic radiographic appearance consists of a well-defined radiolucent cavity with a sclerotic margin [ 8 ] while magnetic resonance imaging (MRI) reveals the abscess cavity (‘penumbra sign’) [ 9 ]. Cases of Brodie’s abscess of the tarsal cuboid are rarely described in the medical literature [ 2 ].…”

Section: Introductionmentioning

confidence: 99%

“…Brodie's abscess is a rare form of chronic pyogenic sub-acute osteomyelitis of the bones, with an insidious onset usually and without obvious clinical symptomatology, which was first described by Sir Benjamin Brodie in 1832 [1][2][3][4][5][6][7][8][9][10]. Most of the cases involve the metaphysis, epiphysis, or diaphysis of the long bones of the lower limb such as the femur or the tibia [1,2,4,7].…”

Section: Introductionmentioning

confidence: 99%

Post-traumatic Brodie’s Abscess of the Tarsal Cuboid: A Case Report and Review of the Literature

Tzellios,

Gelalis,

Gkiatas

et al. 2024

Cureus

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Brodie's abscess of the tarsal cuboid is a relatively rare presentation of this disease. In this study, we present the case of a 20-year-old male with post-traumatic Brodie’s abscess of the tarsal cuboid that was left untreated for three years after the traumatic episode (penetrating injury with a sharp piece of wood). The patient presented pain over the injured area, limping, while plain foot radiographs showed a small lytic cavitary area in the cuboid. The magnetic resonance imaging revealed the presence of the abscess in a 2-cm diameter cavity in the cuboid bone and chronic inflammation of the surrounding plantar musculature. The treatment regime included curettage of the cavity, debridement of the inflammatory tissues, and administration of antibiotics, according to the cultures harvested intraoperatively, for six weeks. During this period, symptoms completely resolved.

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Brodie's Abscess Mimicking as of Malignancy: Case Report With Radiological Features

Amanullah

Ansari

Ahmad

2013

J. Musculoskelet. Res.

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Brodie's abscess is described by a localized collection of abscess usually found in metaphysic of long bones. On imaging it may mimic other malignant and benign bony lesions which need histopathological correlation. After confirming the diagnosis, it can be successfully treated with surgical debridement and proper antibiotics. We report a case of 15 year old female with chronic infection of tibia mimicking as malignancy for which MRI and histopathology was confirmatory in our diagnosis.

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Brodie's abscess: Figure 1

Cited by 3 publications

References 2 publications

Acute leg pain with suspected beginning leg compartment syndrome and deep vein thrombosis as differential diagnoses in an unusual presentation of Brodie’s abscess: a case report

Acute leg pain with suspected beginning leg compartment syndrome and deep vein thrombosis as differential diagnoses in an unusual presentation of Brodie’s abscess: a case report

Post-traumatic Brodie’s Abscess of the Tarsal Cuboid: A Case Report and Review of the Literature

Brodie's Abscess Mimicking as of Malignancy: Case Report With Radiological Features

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