Brodie’s Abscess of the Cuboid in a Pediatric Male

Agarwal, Sharat; Akhtar, Md. Nasim; Bareh, Jerryson

doi:10.1053/j.jfas.2011.10.040

Cited by 9 publications

(8 citation statements)

References 11 publications

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“…The foreign body pathology has masqueraded several other differential diagnosis, namely, septic arthritis, tuberculosis, necrotizing fasciitis, Brodie's abscess, nonhealing ulcer, etc. 2 3 4 5 The symptomatology in our series similarly varied from being asymptomatic to acute presentation with inflammatory signs, for example, abscess, cellulitis, and discharging sinus. In general, the metallic object, for example, needle evoked less inflammation compared to nonmetallic foreign bodies, for example, thread, rubber band, wood, and cracker piece.…”

Section: Discussionmentioning

confidence: 89%

“… 1 The exact incidence of foreign body-related extremity trauma in children at other Indian centers is not available in the literature, but the data are found scattered in multiple case reports. 4 5 7 8 9 10 11 12 13 …”

Section: Discussionmentioning

confidence: 99%

“… 1 As such, the foreign body in child's limb has propensity of getting missed or mistaken diagnosis. 2 3 4 5 …”

Section: Introductionmentioning

confidence: 99%

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Foreign Body-Related Extremity Trauma in Children: A Single-Center Experience

Agarwal

2018

IJOO

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The extremity foreign body in a child has propensity of getting missed or mistaken diagnosis. We report our experience of extremity foreign body trauma in order to increase awareness of this disease entity. The retrospective series of 24 retained foreign bodies was based on a 10-year chart review of emergency data (ICD code Z18). Patients with both upper and lower limb affections were included. Patients with ocular, otolaryngeal, tracheobronchial, gastrointestinal, and axial foreign bodies were excluded from the study. Male predominance (M:F = 20:4), young patient age (mean 6.8 years), variable lag period for consultation (range 3 h–8 years), and majority lower limb affection (58%; foot [7; 29%] and knee [5; 20.8%]) were some characteristics of extremity foreign bodies trauma. The foreign bodies reported were metallic needle (7; 29%), rubber band (3; 12.5%), pellets (3; 12.5%), bangle glass (2; 8%), glass pieces (2; 8%) “dhaga,” wooden twig, wooden thorn, ceramic earthen pot pieces, stapler pin, broomstick, and cracker piece in one case each (1; 4%). Postremoval, the wound healing was uneventful in all patients. Foreign body-related extremity trauma in children is a rare event. It has its own set of characteristics and differential diagnosis. Familiarity with the regional practices and customs is must to establish the circumstances/nature of the foreign body injury. The foreign body should preferably be removed in a well-equipped setting.

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Section: Discussionmentioning

confidence: 89%

Section: Discussionmentioning

confidence: 99%

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Foreign Body-Related Extremity Trauma in Children: A Single-Center Experience

Agarwal

2018

IJOO

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“…Men are affected 2–3 times more often 2 3 5 9. Brodie's abscesses most often occur in the tibia and distal femur,2–4 8–10 but other locations such as the talus,11 12 patella,13 proximal femur,3 14 cuboid bone,15 16 distal radius,17 fibula,9 clavicle,8 skull,2 pelvis2 and calcaneus have been described 18…”

Section: Introductionmentioning

confidence: 99%

Rare presentation of Brodie's abscess in the acromion process and the value of the penumbra sign

Gorter¹,

Rykov

Ott

et al. 2017

BMJ Case Reports

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A 17-year-old male patient presented with a swelling on his right shoulder 1 week after a fall. MRI revealed a superficial fluid collection of the acromion and trapezius muscle, with slight enhancement of the wall. The swelling burst open spontaneously after failed conservative therapy and was treated with surgical drainage and antibiotics. Tissue cultures showed a Staphylococcus aureus 1 year later, he presented with local red discolouration and a recurrent painful swelling that fluctuated at palpation. Radiographs showed a lytic lesion of the acromion process. MRI showed a sinus in the lytic cavity and a penumbra sign, which helped to identify this extremely rare occurrence of Brodie's abscess in the acromion process that was breaking through to the subcutaneous fat. The abscess was treated successfully with surgical drainage and intravenous antibiotics. In retrospect, the first MRI showed a small cortical indentation, with slight oedema of the acromion process.

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“…Diaphyseal involvement is reportedly more common in adults [ 11 , 15 , 16 ]. However, other sites such as the distal radius [ 21 ] and tarsal cuboid bone [ 22 ] have also been reported, although rarely.…”

Section: Introductionmentioning

confidence: 99%

Acute leg pain with suspected beginning leg compartment syndrome and deep vein thrombosis as differential diagnoses in an unusual presentation of Brodie’s abscess: a case report

et al. 2015

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BackgroundBrodie’s abscess is an uncommon form of subacute osteomyelitis where the main presenting symptom is mild to moderate pain of insidious onset for several months’ duration. We report a case of a patient presenting with acute leg pain resembling that of a deep vein thrombosis, and a beginning leg compartment syndrome following a suspected ruptured Baker’s cyst. Our case is unusual because of the acute presentation of the Brodie’s abscess with acute leg pain and acute swelling without any preceding trauma; to the best of our knowledge, this presentation has not been reported before.Case presentationA 17-year-old white boy presented to our out-patient clinic with a 6-month history of pain in his left knee joint of insidious onset. There was no history of trauma to the extremity. After performing physical and radiological (X-ray) examinations, we initially diagnosed medial meniscus damage. One week later he presented to our emergency department with acute sudden increase in the pain and swelling of his left knee, and pain and swelling of his left leg, without any trauma. Deep vein thrombosis and beginning leg compartment syndrome from ruptured Baker’s cyst were initially diagnosed. Magnetic resonance imaging was performed and Brodie’s abscess was the most probable diagnosis. We performed open surgical debridement and curettage with drainage of the abscess and administered postoperative antibiotics. He presented to our out-patient clinic 3 months postoperatively, where he was pain-free with no residual local tenderness.ConclusionsIn cases of sudden acute increase in joint or extremity pain or swelling that has been insidiously present for months, Brodie’s abscess should be considered as one of the differential diagnoses, as it may present acutely in cases with accompanying fasciitis and myositis and be clinically mistaken for deep vein thrombosis or limb compartment. Magnetic resonance imaging remains the gold standard imaging study, and surgical treatment followed by postoperative antibiotics remains the standard treatment.

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Brodie’s Abscess of the Cuboid in a Pediatric Male

Cited by 9 publications

References 11 publications

Foreign Body-Related Extremity Trauma in Children: A Single-Center Experience

Foreign Body-Related Extremity Trauma in Children: A Single-Center Experience

Rare presentation of Brodie's abscess in the acromion process and the value of the penumbra sign

Acute leg pain with suspected beginning leg compartment syndrome and deep vein thrombosis as differential diagnoses in an unusual presentation of Brodie’s abscess: a case report

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