scholarly journals Brodie's Abscess: A Diagnostic Conundrum

Cureus ◽  
2021 ◽  
Author(s):  
Muhammad Salik ◽  
Muhammad Hussain Mir ◽  
Deepa Philip ◽  
Shobit Verma
Keyword(s):  
BMJ ◽  
1948 ◽  
Vol 1 (4545) ◽  
pp. 296-297 ◽  
Author(s):  
S. Scott ◽  
F. S. Preston
Keyword(s):  

2021 ◽  
Vol 11 (9) ◽  
Author(s):  
Nilesh Vishwakarma ◽  
Shaival Chauhan ◽  
Shrey S Binyala ◽  
Sanjeev K Singh

Introduction:Primary subacute pyogenic osteomyelitis, or Brodie’s abscess was initially documented by Sir Benjamin Brodie in 1832. We present a case report with a 6-months follow-up period, demonstrating the successful diagnosis and surgical treatment of a focal lesion of the proximal metaphysis of the right humerus in a 21-years-old female. The pathology of hematologic osteomyelitis and its role in the development of a subacute abscess along with a review of literature and an in detail description of the pathogenesis of Brodie’s abscess is discussed and submitted. Case Report:A 21- years -old healthy female with a history of fall sustaining injury to the right shoulder one 1 year back followed by which she presented to the outpatient clinic with a swelling over her right shoulder. The patient was managed conservatively with analgesics and was relieved of pain over a course of one 1 week of medications, the patient now presents with pain and swelling in the right shoulder joint on and off since the episode of fall one 1 year back, which had increased over a period of past one 1 week. A week before the most recent presentation she started experiencing some discomfort and pain in her right shoulder. No recent trauma was reported. A mild swelling appeared over the proximal part of the humerus. There were no constitutional symptoms of fever or any illness reported. On examination, there was noted a painful restriction of ROM at the right shoulder joint with no rotator cuff injury. Laboratory investigations were suggestive of raised inflammatory markers. Radiograph of the right shoulder taken in the true antero-posterior view with the shoulder in the neutral rotation was suggestive of an oval lucency with surrounding sclerosis in the proximal metaphyseal region of the humerus. Magnetic resonance imaging MRI of the right shoulder joint showed features consistent with Brodie’s abscess in the proximal metaphyseal region of the humerus. Surgical debridement of the abscess w


2015 ◽  
Vol 3 (3) ◽  
pp. 141-147
Author(s):  
Kakarla Subbarao
Keyword(s):  

2000 ◽  
Vol 25 (12) ◽  
pp. 986-990 ◽  
Author(s):  
MIHO YOSHIKAWA ◽  
YOSHIFUMI SUGAWARA ◽  
TAKANORI KIKUCHI ◽  
SHIGERU NAKATA ◽  
TERUHITO MOCHIZUKI ◽  
...  

2000 ◽  
Vol 43 (12) ◽  
pp. 2848-2850 ◽  
Author(s):  
M. A. Contreras ◽  
J. L. Andreu ◽  
J. Mulero ◽  
C. González

2019 ◽  
Vol 7 ◽  
pp. 2050313X1986945
Author(s):  
Abdülkadir Sari ◽  
Yaşar Mahsut Dinçel ◽  
Ibrahim Halil Erdogdu ◽  
Hakan Sezgin Sayıner ◽  
Ismail Agir ◽  
...  

Background: Tuberculosis osteomyelitis is rarely seen in the diaphyseal bones. It may be confused with Brodie’s abscess due to similar clinical, radiological and laboratory findings. Late diagnosis of the disease causes bone destruction. Tuberculosis osteomyelitis of the bone is a rare condition caused by the Mycobacterium tuberculosis. Its incidence has increased in Western countries in recent years due to HIV infection, increasing elderly population and emerging resistant strains. The slow progress of tuberculous osteomyelitis, due to lack of significant elevations in the laboratory values and changes in the radiographic appearance, often leads to confusion with the subtypes of subacute osteomyelitis, defined as Brodie’s abscess. These two low-virulence clinical cases often lead to delays in diagnosis and progressive bone destruction. Case presentation: We report a 65-year-old male patient who presented to our clinic with pain, swelling and sensitivity in the left leg. Diagnosed with infection in the tibia, the patient had undergone antibiotherapy. However, the patient’s symptoms were not resolved and we performed bone curettage and cementation. M. tuberculosis-specific DNA was detected by real-time polymerase chain reaction and the M. tuberculosis complex was produced from the perioperative samples. Conclusion: In conclusion, histopathological examination and polymerase chain reaction are essential before surgery of subacute and chronic osteomyelitis with atypical clinical, laboratory and radiological findings for early diagnosis and accurate treatment.


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