Long standing Brodie’s abscess of the diaphysis of the upper tibia in a young male

Authors : Javed Ahmad, Mohit Kumar Singh, Brij Mohan Patel, Vivek Shrivastava, Amit Kumar Rajan, Satyajeet Verma

DOI : 10.18231/j.ijor.2022.019

Volume : 8

Issue : 2

Year : 2022

Page No : 93-96

Brodie’s abscess is a long standing localized form of osteomyelitis seen in cases where either the virulence of the infecting organism is low or the immunity of the host is good. Brodie’s abscess is relatively uncommon type of osteomyelitis that is a diagnostic challenge due to its indolent onset and limited systemic response. We here present a case of Brodie’s abscess in a young male with long standing pain and swelling over the right upper leg from 8 years. The diagnosis was made on X-Ray showed a large osteolytic lesion in the upper tibia with surrounding sclerosis and supported by the CT scan and confirmed by the open biopsy and curettage. On bone drilling frank pus came out and culture showed Staphylococcus aureus. Post-operatively the patient was managed by prolonged course of antibiotics. In this case patient showed complete resolution of symptoms with no signs of recurrence.
 

Keywords: Brodie's abscess, Long standing, Osteolytic lesion, Bone sclerosis, Staphylococcus aureus


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