Working Diagnosis:
Sub-acute Abscess vs Chondroblastoma vs Eosinophilic Granuloma
Treatment:
Open evaluation and evacuation of the abscess was done; . A currettage was performed and a graft was placed on the bony space with calcium phosphate antibiotic matrix. Culture of the abscess grew methicillin-sensitive staphylococcus aurues. He was referred to Dermatology for treatment of his severe eczema, which was the presumptive etiology of the infection, and was treated with four weeks of Keflex.
Outcome:
Follow up MRI was done and showed resolution of the abscess.
Author's Comments:
Three months later, patient was seen at our office. Incision site was well healed and ambulation was normal. His pain had resolved and his Ecezma was well under control.
References:
1. Quantitative Analysis of the Plain Radiographic Appearance of Brodie's Abscess
LOPES, THELMA D. MD; REINUS, WILLIAM R. MD; WILSON, ANTHONY J. MB, CHB, Investigative Radiology: January 1997 - Volume 32 - Issue 1 - pp 51-58
2. BRODIE'S ABSCESS REVISITED
P.R. Kornaat1, M. Camerlinck2, 3, F.M. Vanhoenacker2, 3, G. De Praeter3, H.M. Kroon
JBR-BTR, 2010, 93: 81-86.
3. Radiographic Imaging in Osteomyelitis: The Role of Plain Radiography, Computed Tomography, Ultrasonography, Magnetic Resonance Imaging, and Scintigraphy
Carlos Pineda, M.D., Rolando Espinosa, M.D., and Angelica Pena, M.D.
Semin Plast Surg. 2009 May; 23(2): 80-89.
4. BRODIE ABSCESS: A MISLEADING BONE INFECTION: 10 CASES
Anis Ben Lassoued, Mhamed Bahri, Wajdi Bouall-gue, Ramzi Boufar's and Vladimir Gavrilov
J Bone Joint Surg Br 2011 vol. 93-B no. SUPP IV 535
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