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Brodie abscess in the clavicle: an uncommon presentation.

Guillermo N Ledo1, Dolores Artese1, Natalia P Álvarez1

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Archivos Argentinos De Pediatria
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Brodie abscess, a subacute osteomyelitis, is increasingly diagnosed. High clinical suspicion is key for accurate diagnosis and effective antibiotic treatment, avoiding unnecessary procedures.

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Area of Science:

  • Orthopedics
  • Infectious Diseases
  • Radiology

Background:

  • Osteomyelitis is bone inflammation due to infection, with acute forms common in children.
  • Brodie abscess, a subacute osteomyelitis variant, shows a rising incidence.
  • This condition presents diagnostic challenges due to non-specific tests and complex imaging.

Observation:

  • A healthy female patient presented with a left clavicle lesion mimicking a neoplasm.
  • Diagnostic suspicion led to the identification of a Brodie abscess.
  • The patient responded well to initiated antibiotic therapy.

Findings:

  • Brodie abscess diagnosis requires high clinical suspicion due to its resemblance to bone neoplasms.
  • Non-specific laboratory and radiological findings complicate diagnosis.
  • Early and accurate diagnosis is crucial for appropriate management.

Implications:

  • Increased awareness and suspicion of Brodie abscess can prevent invasive procedures.
  • Timely diagnosis facilitates effective antibiotic treatment, potentially avoiding surgery.
  • Prompt management prevents long-term bone damage and sequelae.