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Brodie Abscess

Subacute or chronic localized intramedullary bone abscess, classically in metaphyseal long bones.

Written by: Saygı Hospital Health Guide Editorial Board
Published:

This content is for general information; please consult your physician for diagnosis and treatment.

References (5)

This content is for informational purposes only and does not constitute medical advice. You can book an appointment at our Ortopedi ve Travmatoloji department. Book Appointment →

What is Brodie Abscess?

Brodie abscess is a subacute or chronic form of hematogenous osteomyelitis that produces a localized abscess within bone, most often in the metaphysis of long bones in children and young adults.

Staphylococcus aureus is the most common pathogen, and presentation is insidious with mild pain and minimal systemic symptoms.

Diagnosis is supported by characteristic imaging features including a well-defined metaphyseal lytic lesion with sclerotic rim, and treatment combines targeted antibiotics with surgical curettage when needed.

Symptoms

Insidious bony pain often nocturnal
Mild localized swelling
Slight tenderness on palpation
Limited limb function
Mild fever or absence of systemic symptoms
Pain relieved by aspirin or NSAIDs
Long history before diagnosis

Risk Factors

Childhood and adolescence
Recent skin or soft tissue infection
Immunosuppression
Sickle cell disease
Diabetes mellitus
Previous untreated bacteremia
Penetrating injury near bone

When to See a Doctor?

If you experience any of the following symptoms, seek medical attention promptly:

  • Persistent unexplained bone pain
  • Pain that worsens at night
  • Localized swelling without obvious trauma
  • Failure to thrive in a child with limb pain
  • Persistent low-grade fever
  • Suspected bone lesion on imaging
  • Worsening despite oral antibiotics

Treatment Methods

01
Plain radiographs followed by MRI for accurate localization
02
Blood cultures and inflammatory markers
03
Surgical curettage and culture of the abscess
04
Targeted intravenous antibiotics followed by oral therapy
05
Bone grafting in selected cases
06
Treatment of associated soft tissue infection
07
Orthopedic and infectious disease follow-up

Which Department to Visit?

You can visit our Ortopedi ve Travmatoloji department for these complaints. Our specialist physicians will create the most suitable treatment plan for you.

Learn About Ortopedi ve Travmatoloji Department

Let us help you

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Health Disclaimer: The information on this page is prepared for general informational purposes only. It does not replace medical diagnosis and treatment. Please consult your physician for your complaints. Saygı Hospital does not accept responsibility for actions taken based on the information on this page.