Hospital Nacional de Pediatría S.A.M.I.C. Prof. Dr. Juan P. Garrahan, Buenos Aires, Argentina.
Arch Argent Pediatr. 2023 Dec 1;121(6):e202202937. doi: 10.5546/aap.2022-02937.eng. Epub 2023 Mar 30.
Osteomyelitis is defined as an inflammation of the bone caused by infection. Acute osteomyelitis is common in pediatrics. A Brodie abscess is a type of subacute osteomyelitis, with a historically low incidence; however, its incidence is currently increasing. Given its little clinical impact, with non-specific laboratory tests and radiological studies of difficult interpretation, diagnostic suspicion is crucial. It resembles neoplasms, either benign or malignant. An adequate diagnosis falls on the health care provider's experience. Treatment consists of antibiotics, both parenteral and oral, with potential surgical drainage. Here we describe the case of a healthy female patient with a tumor found in the topography of the left clavicle 3 months before. She was diagnosed with Brodie abscess; treatment was started with a good response. A high index of suspicion of Brodie abscess is critical to avoid invasive tests and studies or inadequate treatments, and to prevent future sequelae.
骨髓炎是由感染引起的骨炎症。急性骨髓炎在儿科中较为常见。Brodie 脓肿是亚急性骨髓炎的一种类型,历史上发病率较低;然而,目前其发病率正在上升。由于其临床影响较小,实验室检查和影像学研究非特异性,且难以解读,因此诊断怀疑至关重要。它类似于良性或恶性肿瘤。适当的诊断取决于医疗保健提供者的经验。治疗包括静脉和口服抗生素,可能需要手术引流。在此,我们描述了一位健康的女性患者的病例,她在 3 个月前发现左侧锁骨处有肿瘤。她被诊断为 Brodie 脓肿;治疗开始后反应良好。高度怀疑 Brodie 脓肿对于避免侵入性检查和研究或不适当的治疗以及预防未来的后遗症至关重要。