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KMID : 0896719980020020097
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Journal of the Korean Society of Foot Surgery
1998 Volume.2 No. 2 p.97 ~ p.101
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Brodie’s Abscess on the Distal Ticia caused by Salmonella Infection - A Case Report -
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Kang Jae-Do
Kim Kwang-Yeol
Kim Hyung-Chun
Jung Kyung-Chil
Han Sang-Ho
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Abstract
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Primary subacute pyogenic osteomyelitis, or Brodies abscess has received much attention since its initial documentation in the literature in 1832 by Sir Benjamin Brodie. Brodies abscess is a localized form of chronic osteomyelitis that occurs most often in the metaphyseal area of the long bones of the lower extremities of young adults. Intermittent pain of long duratian is the presenting complaint, along with local tenderness over the affected area. Laboratory evaluation is unrevealing, with a normal white blood cell count and differential count. The erythrocyte sedimentation rate may also be normal. Roentgenogram shows a markedly varied appearance and an abscess may be easily mistaken for various neaplasm. The most common organism cultured from abscess is Staphylococcus species. Treatment includes curettage of the lesion and administration of antibiotics. We present a case report (with a 1-year follow-up period), demonstrating the successful surgical treatment of Brodie’s abscess of the distal metaphysis of the left tibia caused by Salmonella cholerasuis in a 33-year -old male who had no hemoglobinopathy.
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KEYWORD
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Tibia, Distal metaphysis, Brodies abscess, Salmonella cholerasuis
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