Orthopedic case

Authors

  • Jorge Abreu Ferreira Department of Pediatrics, Centro Hospitalar de Trás-os-Montes e Alto Douro
  • Cristiana Martins Department of Pediatrics, Centro Hospitalar de Trás-os-Montes e Alto Douro
  • Paulo Peixoto Department of Orthopedics, Centro Hospitalar de Trás-os-Montes e Alto Douro
  • Filipe Duarte Department of Orthopedics, Centro Hospitalar de São João
  • José Samaniego Torres Department of Pediatrics, Centro Hospitalar de Trás-os-Montes e Alto Douro
  • Jorge França Santos Department of Pediatrics, Centro Hospitalar de Trás-os-Montes e Alto Douro

DOI:

https://doi.org/10.25753/BirthGrowthMJ.v27.i3.12889

Keywords:

Brodie’s abscess, osteomyelitis, transient synovitis of the hip

Abstract

A previously healthy 12-month-old boy, was observed in the emergency department due to refusal to walk, initially diagnosed as transient synovitis of the hip. After one month, he is again observed due to the persistence of symptoms and fever. On objective examination he presented refusal to walk, reporting no difficulties in crawling. A conventional radiography showed lytic lesion on the medial condyle of the left femur and computed tomography (CT) revealed a probable Brodie abscess. Patient was referred to pediatric orthopedics consultation and then performed a magnetic ressonance that confirmed osteomyelitis with an intraosseous abscess. He was submitted to surgical drainage and four weeks of antibiotic therapy, with no sequelae after one year.
Brodie’s abscess is a subtype of subacute osteomyelitis characterized by the formation of an intramedullary abscess, predominantly in the long bones. It is difficult to diagnose since the symptoms can be mild, mimicking several malignant or benign conditions. Radiology plays a key role in its identification. The treatment can be medical or medical-surgical, usually with a good prognosis.

References

- Abdulhadi MA, White AM, Pollock AN. Brodie abcscess. Pediatr Emerg Care 2012 Nov; 28(11):1249-51.

- Agarwal S, Akhtar MN, Bareh J. Brodie's abscess of the cuboid in a pediatric male. J Foot Ankle Surg. 2012 Mar-Apr;51 (2):258-61.

- Kornaat PR, Camerlinck M, Vanhoenacker FM, De Praeter G, Kroon HM. Brodie's abscess revisited. JBR-BTR. 2010 Mar-Apr;93(2):81-6.

- Olasinde AA, Oluwadiya KS, Adegbehingbe OO. Treatment of Brodie’s abscess: excellent results from curettage, bone grafting and antibiotics. Singapore Med J 2011; 52(6):436.

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Published

2018-10-17

How to Cite

Ferreira, J. A., Martins, C., Peixoto, P., Duarte, F., Torres, J. S., & Santos, J. F. (2018). Orthopedic case. NASCER E CRESCER - BIRTH AND GROWTH MEDICAL JOURNAL, 27(3), 209–211. https://doi.org/10.25753/BirthGrowthMJ.v27.i3.12889

Issue

Section

Imaging Cases