Rare Intercondylar Distal Femoral Brodie’s Abscess in a 21-Year-Old Man Who Refused Medical Care for Three Years after Initial Symptoms
Brodie’s abscess is a rare form of sub-acute osteomyelitis that implies the collection of pus inside bone tissue. The present paper presents an extremely rare case of Brodie’s abscess located in the distal femur in a young male patient who refused medical care for three years and presented directly...
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| Format: | Article |
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MDPI AG
2021-05-01
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| Series: | Medicina |
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| Online Access: | https://www.mdpi.com/1648-9144/57/6/544 |
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| author | Bogdan Gheorghe Hogea Jenel Marian Patrascu Adrian Emil Lazarescu Louchi El Mehdi Andrei Daniel Bolovan Lavinia Maria Hogea Adrian Cosmin Ilie Bogdan Corneliu Andor Jenel Marian Patrascu |
| author_facet | Bogdan Gheorghe Hogea Jenel Marian Patrascu Adrian Emil Lazarescu Louchi El Mehdi Andrei Daniel Bolovan Lavinia Maria Hogea Adrian Cosmin Ilie Bogdan Corneliu Andor Jenel Marian Patrascu |
| author_sort | Bogdan Gheorghe Hogea |
| collection | DOAJ |
| description | Brodie’s abscess is a rare form of sub-acute osteomyelitis that implies the collection of pus inside bone tissue. The present paper presents an extremely rare case of Brodie’s abscess located in the distal femur in a young male patient who refused medical care for three years and presented directly with spontaneous fistula and septic complications. Laboratory tests also suggested chronic septic alterations. Complex imaging investigations including X-ray (RX), computer tomography (CT) and Magnetic Resonance imaging (MRI) confirmed the diagnosis with characteristic aspects, such as the penumbra sign on the T1 weighted MRI image. Management included aggressive debridement, defect reconstruction, and long-term specific antibiotics according to culture harvested intra-operatively. Evolution was positive with inflammatory blood tests returning to physiological values within four weeks and patient full recovery within six months, without any physical deficits. The novelty aspect found in this case presentation is represented by the long-term natural evolution of this pathology, and the fact that even in these conditions, the Brodie’s abscess did not evolve into a ‘malignant’ septic condition, but remained rather benign until the spontaneous fistula prompted the patient to seek medical care. |
| first_indexed | 2024-03-10T10:56:33Z |
| format | Article |
| id | doaj.art-5ca616cf4b37496e81c71e256cd1253f |
| institution | Directory Open Access Journal |
| issn | 1010-660X 1648-9144 |
| language | English |
| last_indexed | 2024-03-10T10:56:33Z |
| publishDate | 2021-05-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Medicina |
| spelling | doaj.art-5ca616cf4b37496e81c71e256cd1253f2023-11-21T21:48:58ZengMDPI AGMedicina1010-660X1648-91442021-05-0157654410.3390/medicina57060544Rare Intercondylar Distal Femoral Brodie’s Abscess in a 21-Year-Old Man Who Refused Medical Care for Three Years after Initial SymptomsBogdan Gheorghe Hogea0Jenel Marian Patrascu1Adrian Emil Lazarescu2Louchi El Mehdi3Andrei Daniel Bolovan4Lavinia Maria Hogea5Adrian Cosmin Ilie6Bogdan Corneliu Andor7Jenel Marian Patrascu8Faculty of Medicine, University of Medicine and Pharmacy ‘Victor Babes’, Nr. 2, 300041 Timisoara, RomaniaFaculty of Medicine, University of Medicine and Pharmacy ‘Victor Babes’, Nr. 2, 300041 Timisoara, RomaniaFaculty of Medicine, University of Medicine and Pharmacy ‘Victor Babes’, Nr. 2, 300041 Timisoara, Romania2nd Clinic of Orthopedics and Traumatology, County Emergency Hospital ‘Pius Branzeu’, Nr. 2, 300041 Timisoara, Romania2nd Clinic of Orthopedics and Traumatology, County Emergency Hospital ‘Pius Branzeu’, Nr. 2, 300041 Timisoara, RomaniaFaculty of Medicine, University of Medicine and Pharmacy ‘Victor Babes’, Nr. 2, 300041 Timisoara, RomaniaFaculty of Medicine, University of Medicine and Pharmacy ‘Victor Babes’, Nr. 2, 300041 Timisoara, RomaniaFaculty of Medicine, University of Medicine and Pharmacy ‘Victor Babes’, Nr. 2, 300041 Timisoara, RomaniaFaculty of Medicine, University of Medicine and Pharmacy ‘Victor Babes’, Nr. 2, 300041 Timisoara, RomaniaBrodie’s abscess is a rare form of sub-acute osteomyelitis that implies the collection of pus inside bone tissue. The present paper presents an extremely rare case of Brodie’s abscess located in the distal femur in a young male patient who refused medical care for three years and presented directly with spontaneous fistula and septic complications. Laboratory tests also suggested chronic septic alterations. Complex imaging investigations including X-ray (RX), computer tomography (CT) and Magnetic Resonance imaging (MRI) confirmed the diagnosis with characteristic aspects, such as the penumbra sign on the T1 weighted MRI image. Management included aggressive debridement, defect reconstruction, and long-term specific antibiotics according to culture harvested intra-operatively. Evolution was positive with inflammatory blood tests returning to physiological values within four weeks and patient full recovery within six months, without any physical deficits. The novelty aspect found in this case presentation is represented by the long-term natural evolution of this pathology, and the fact that even in these conditions, the Brodie’s abscess did not evolve into a ‘malignant’ septic condition, but remained rather benign until the spontaneous fistula prompted the patient to seek medical care.https://www.mdpi.com/1648-9144/57/6/544Brodie’s abscessinfectionchronic osteomyelitis |
| spellingShingle | Bogdan Gheorghe Hogea Jenel Marian Patrascu Adrian Emil Lazarescu Louchi El Mehdi Andrei Daniel Bolovan Lavinia Maria Hogea Adrian Cosmin Ilie Bogdan Corneliu Andor Jenel Marian Patrascu Rare Intercondylar Distal Femoral Brodie’s Abscess in a 21-Year-Old Man Who Refused Medical Care for Three Years after Initial Symptoms Medicina Brodie’s abscess infection chronic osteomyelitis |
| title | Rare Intercondylar Distal Femoral Brodie’s Abscess in a 21-Year-Old Man Who Refused Medical Care for Three Years after Initial Symptoms |
| title_full | Rare Intercondylar Distal Femoral Brodie’s Abscess in a 21-Year-Old Man Who Refused Medical Care for Three Years after Initial Symptoms |
| title_fullStr | Rare Intercondylar Distal Femoral Brodie’s Abscess in a 21-Year-Old Man Who Refused Medical Care for Three Years after Initial Symptoms |
| title_full_unstemmed | Rare Intercondylar Distal Femoral Brodie’s Abscess in a 21-Year-Old Man Who Refused Medical Care for Three Years after Initial Symptoms |
| title_short | Rare Intercondylar Distal Femoral Brodie’s Abscess in a 21-Year-Old Man Who Refused Medical Care for Three Years after Initial Symptoms |
| title_sort | rare intercondylar distal femoral brodie s abscess in a 21 year old man who refused medical care for three years after initial symptoms |
| topic | Brodie’s abscess infection chronic osteomyelitis |
| url | https://www.mdpi.com/1648-9144/57/6/544 |
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